Avatar universal


I had mmr or I think a mri which reported showed that I had multiple white matter foci in the frontal lobes also they said I have tiny foci of flair hypertense signal with in the frontal lobes bilaterally more numerous in the right frontal lobe a tiny of focus of flair hypertense signal is also present in the left cingulate gyrus what does this mean and whether I am at risk cause I'm seeing a neurologist
9 Responses
5265383 tn?1483808356
It's hard to say -- there are a quite a number of reasons for lesions in the brain.  Possibly related to demyelination, but also could be related to vascular issues, migraine, etc.

What were the symptoms that led to the mri?  What did the "impressions" or "conclusions" sections of the report say?

Your neurologist will be able to assess the mri and decide whether they lesions are characteristic of ms (size, location) or something else, or just normal aging (no idea of your age, but a normal brain looks markedly different at 25 vs. 65.  He will perform a neurological exam which will check your strength, reflexes and other things.

Keep us posted.  How long do you have to wait before you see the neurologist?

I'm 29 years of age my gp said its serious an was happy to refer me
987762 tn?1331027953
Hi and welcome fellow Ozzie,

MR imaging is very sensitive in detecting white matter damage, but it is not very specific, bilateral foci in the frontal lobes is one of the most common MRI findings and there are many different reasons for them, the Cingulate Gyrus is a major part of the limbic system which involves things like decision making, emotional response, pain, behaviors, etc, it lies right on top of the corpus callosum (CC).

The Cingulate Gyrus is usually referred to as Anterior or Posterior so i'm unsure what "....present in the left cingulate gyrus" is actually meaning, it's located in the middle of the brain without a left of right side and why it's broken in to anterior or posterior, so that's got me a little puzzled sorry.

You haven't mentioned what prompted the MRI, if for instance you were experiencing migraines then these findings might be supportive diagnostic evidence but without any further information it is really too hard to guess if MS would even be on your list of possibles.

In oz it's usually a neurologist who orders brain MRI's.....if you have already seen a neurologist was anything mentioned to you about what he/she was thinking could be what your dealing with?

well the reason why was I get terrible migraines for the past 9 years plus I had an abusive past where I always was hit as a young kid on the brain quite a few times
987762 tn?1331027953
Migraines actually have a strong genetic association but research has shown that abuse as a child is associated with an 'increased risk' for migraine in adulthood. Your childhood 'might' be relevant to the migraines you;ve been experiencing in your 20's, but abuse has no association with MS at all and migraines are often associated with coexisting and comorbid conditions eg medication side effect or overuse, depression and other mood disorders, obesity, snoring, head trauma, allergy, hypertension etc..

Migraine is a neurological disorder, some types of migraine can 'temporarily' cause similar types of symptoms to MS or strokes but it's not the same type of medical condition. Seeing a neurologist will help find the right type of treatment plan to reduce your migraines, but understanding what if any triggers you have will  also be helpful eg hormonal fluctuations, bright lights, certain smells, alcohol, certain foods, poor sleep, high stress etc.  

My left side arm I can't bend it to touch my shoulder that's causes enough problems
Had that problem since I was a kid
Is that related
It depends on what your thinking it could be related to, It's hard to speculate on what if anything it could be related to...IF you haven't been able to bend your left arm to your shoulder since you were a child, it's highly unlikely to be related to migraines or MS and more likely related to a childhood trauma, even developmental....
Well thanks for the feedback I appreciate it cause I'm dying to get some answers cause I was unable to bend since kindergarten
Neurologist knows better
Avatar universal
I play up at home an my family threw me heartlessly in a psychiatric home now one half is shaking an I think I'm paralysed a bit they have no idea what neurologists is
I'm sorry but i can't understand the structure of your sentences enough to work out what you're trying to say, could you please rephrase your last post?

Thank you in advance......JJ

My parents don't understand my trauma they basically gave me up for adoption so I hurried for  an mri an followed up to prove I'm not what they think I am  it's more of a legal matter the psychiatrist don't know what I have my parents didn't care at the time but now they do
My parents didn't think at the time who they should take me too they thought a psychiatrists over a neurologists but it's in this case definitely a neurologists is better understanding cause they specialise in the brain an it's functionality
987762 tn?1331027953
You have definitely experienced a very unusual and traumatic up bringing, and whilst you have only mention snippets of your troubled young life, i think it would be in your best interest to consider the way the Australian health system works before you completely blame and resent your parents for evermore.....

We don't have the type of health system where a 'parent or guardian' has the power to place behaviorally challenged children in residential child and adolescent psychiatric facility's and or choose to leave them there for any period of time.......don't get me wrong, i'm not in anyway saying your parents didn't have some involvement, all i'm trying to point out is that your parents wouldn't of had a way to throw you heartlessly in a psychiatric home. That may be exactly how it feels from your first hand perspective, but please consider that there would have to of been a lot more complex involvement of medical personal going on that you may not of been aware of, and it's also likely your doctors didn't believe your parents were capable of ensuring your compliance of treatment and or of supporting all your complex needs from home.    

Over the last 30 years the number of psychiatric beds has continued to decline, with pediatric and adolescent inpatient psychiatric beds for each state requiring patients to meet very restricted criteria eg serious risk of self harm or harm to others, suicide risk, risk of exploitation, complex comorbid M/H issues etc. etc. etc.

The focus of mental health support and treatments has been  outpatient based and crisis intervention for many many years, the The Mental Health Act 1986 has had many legal changes but keep in mind that  the majority of 'parents and guardians' are typically completely out of their depths when their child is in serious crisis.

A childs psychiatrist, case worker, hospital, Crisis Assessment and Treatment (CAT) team, Youth Assessment Team (YAT) etc whom ever is involved with their childs medical care, has to be recommending and or prescribing the necessity of assessment and treatment of the child to be placed in an inpatient care facility.

It basically doesn't matter the type of parents you have, good or bad, rich or poor, without psychiatric specialists referral of temporary or longer stay inpatient care, no one in Australia regardless of age can be voluntarily or involuntarily held in a psychiatric facility if the patient doesn't 'appear to be mentally ill' and or it's not morally and ethically in the best interest of the patient.

Neurologist are not typically involved in diagnosing children and adolescents who are displaying disruptive to uncontrollable behavioral issues, there are many different conditions which may result in neurological impairment, off the top of my head it's somewhere around 600 but some are genetic and others are acquired as the result of injury, illness or complications experienced during pregnancy or at birth. eg Autism is a condition that causes various neurological impairments but Autism is not typically diagnosed by a neurologist, it's diagnosed by psychologists, psychiatrists, developmental or behavioral pediatricians, it can be diagnosed by a pediatric neurologist but it's definitely more common to see a psych than a neurologist if a child or adolescents behavior is beyond normal perimeters.

I've written more than i intended....i would strongly advice you to try to be very open minded regarding diagnosis, try not to place all the responsibility of your psychiatric placement in 'only' your parents hands, and please don't be surprised or offended if you are additionally referred to a psych for further assessment, because whilst you do have a complex medical history dating back to your childhood, many developmental, degenerative, neurological conditions etc are diagnosed via the cognitive, IQ and mental health assessments that psychologist and psychs carry out, so seeing a psych is commonly part of the diagnostic process....

Hope that helps...........JJ    

Avatar universal
I do understand but they should of scanned my brain before admitting to an ambulance cause I'm referred to a ms clinic forever it's not my fault my parents weren't happy with my upbringing I was constantly bullied at home this is a court case matter why doctors didn't take simple procedures an iniated before admitting me harming my left side to tremble it's enough my left side arm to bend for my hands to bend to touch my shoulders since birth pretty much that's connected to my brain so definitely something wrong with my brain  there too. Thanks for the reply I have my own.concerns thanks for replying
I'm sure i'm not the only one who would really like to help if they can but i think part of the problem in understanding your current situation enough to help in regards to MS, is that your sentences are harder to follow when they don't have full stops and your mixing your childhood issues with your adult ones.......

Trying to understand past vs current:

"I play up at home an my family threw me heartlessly in a psychiatric home"

"My parents don't understand my trauma they basically gave me up for adoption so I hurried for  an mri an followed up to prove I'm not what they think I am"

"they should of scanned my brain before admitting to an ambulance cause I'm referred to a ms clinic forever"

"doctors didn't take simple procedures an iniated before admitting me "

Are you saying your stay at the psychiatric inpatient facility was something that happened in your childhood/teenage yrs or was this something that just recently happened to you?
5112396 tn?1378017983
I just wanted to confirm what JJ is saying. I am unable to understand the timeline of what you're relating and feel unable to offer any help or suggestions with so little comprehension of what's going on.
Yeah I know
Are you guys real doctors
Avatar universal
It started back in 2012 when I rushed to an ambulance I had a migraine they had no idea so they admitted me to psychiatric hospital do you understand where I'm coming from now I'm rushing to a neurologist where they calm me down an understand me an my symptoms I don't know if I'm making sense to you please tell me
5112396 tn?1378017983
No one here is a doctor. This is a forum for people with MS or who suspect they may have MS.
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