My husband, 53 yr old Southasian male, complained about a recent onset fronto-orbital headache and occassional dizziness. Done MRI,awaiting neuro appointment. MRI shows: There are numerous scattered foci of increased T2 and Flair signal in the subcortical and deep white matter of the frontal and parietal lobe, bilat, measuring upto 7 mm.
comment: Finding of T2 and flair are nonspecific but somewhat prominent for ch. sm. vessel ischaemic changes in a pt. of this age. Demyelination can't be entirely excluded although there are no foci involving the post. fossa, brainstem or corpus callosum.