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Result of MRI

Hi I am a 49 year old women. My MRI  Brain without contrast  shows there 2 foci of restricted diffusion located in the periventricular white matter of left frontal lobe consistent with acute lacunar infarction.
Brain Paracenchyma: Evedince of partial empty sella.Brain prenchymal architecture otherwise is within normal limits. Brain signal: There are multiple foci of T2/flair hyperintense signal located in the subcortical white matter of the frontoparietal lobes bilaterally.
There are multiple abnormal hyperintense T2/Flair lesion is located in the subcortical white matter of the frontoparietal lobes bilaterally. I have a history of migraine and have Lups.
Can you please explain what it means and need to do
Thank You
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1453990 tn?1329231426
Empty Stella Syndrome has been discussed on this forum before.  Many times, it is a radiological finding without clinical significance.  An Acute Lacunar Infarction is a type of stroke/CVA.  Lacunar strokes have been associated with confusion, cognitive issues, motor issues and paresthesias.  They can be common in people with clotting disorders.

Migraine disease is also associated with white matter lesions.  Since none of the lesions are described as "ovoid" or located in the periventricular space, corpus collosum, or infratentorial brain, it sounds to me like a neurologist will state these changes are ischemic changes not demyelination.

Without knowing much else of your medical history or symptoms, your doctor should be watching your blood pressure and the clotting values in your blood work.  He may also recommend a sleep study since there seems to be an associated risk between sleep apnea and Lacunar Infarcts.  Sleep Apnea is more common in obese people with a history of snoring and a neck size over 17" (16" for women.)

You also need to be aware of Lupus aniticoagulants or cardiolipin, which are a type of phosphlipid antibody.  While these prevent blood from clotting outside the body, they can cause clots inside the body and it is common for SLE patients to have abnormal PTT clotting times and require treatment with anticoagulants.  This is one of the major mimics for Multiple Sclerosis.

You may want to discuss some of this information with your doctor.

Bob
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Avatar universal
Hi thank you for answering my question and your advice. I have appointment with my Rhumatololgy tomorrow to discuss about every thing and with my Cardiologist on Friday hopping to get a solution for my problem, also with Neurologist too.
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