476834 tn?1228398709


Good morning all.

Quix you said:
Lesions that are very small and don't have clear edges, located in the subcortical area seem to often be referred to as microvascular in nature.  This category includes high blood pressure and migraines.  Both cause tiny changes in the vasculature.  Did the report give the measurements of the 2 foci (spots) or refer to them as punctate? Migraines are vascular headaches which involve spasms in the arteries.  So, Ischemic/hypertension/migraine all can appear similarly on the MRI.  There is not a huge difference.

My mri report said mine were in the cerebral hemispheres in  subcortical and frontal lobe.  Please what does it mean if they are just punctuate vs/// 3.4 and 3.8mm???

the way I'm understanding it is that if they are just punctuate then it is more likely that they are ischmic???

2.  can you have ischmic in your brain without having Migraines or high blood pressure?
  3. do ischmic migraines hurt?  could of I had one and not know it?

Thank you
3 Responses
Sort by: Helpful Oldest Newest
476834 tn?1228398709
my brain mri said I had 3.4mm and 3.8 mm

are these punctuate?

sorry just trying to understand
Helpful - 0
195469 tn?1388322888
As I understand it, you have a lesion that is 3.4mm in size and one that is 3.8mm in size.  As I also understand it, this size lesion would probably NOT be ischimeic in nature and not have to do with migraines.

Quix correct me if I am wrong.

Helpful - 0
Avatar universal
Punctate lesions are very tiny, almost pinpoint sized, and are not considered part of MS, and some other lesions bigger than this also do not fit this arbitrary designation.

However, from everything I've learned, any lesion at least 3 mm in size does meet the MS criterion.

Helpful - 0
Have an Answer?

You are reading content posted in the Multiple Sclerosis Community

Top Neurology Answerers
987762 tn?1331027953
5265383 tn?1483808356
1756321 tn?1547095325
Queensland, Australia
1780921 tn?1499301793
Queen Creek, AZ
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease