Explain what the possiblities could be with Lefrt posterior communicating artery being absent, incomplete circle of Willlis, Mild to moderate cortical atrophy, mild volume loss noted in the region of the parietal lobes and a few punctate T2 hyperintensities identified in the periventricular regions. stating maybe early demyelingating. also explain sequelae of microvascular disease.
Thank you for your question. Your demyelinating disease could be due to multiple sclerosis (most common), optic neuritis, devic’s disease and encephalomyelitis. These include metabolism errors, exogenous toxins released by virus, autoimmune disease, leukodystrophy, demyelination, and radiation effects. Spasticity, muscle weakness, paralysis, hyper-reflexia and movement disorder may be the clinical features associated with white matter disease that need to be evaluated thoroughly. However, it is sad to say that there is no permanent cure but conservative treatment & physiotherapy exercises that would help you to regain your normal function and stopping the further progression of the disease. Please consult a neurologist in this regards. Hope this helps.
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