Spots on the Brain

[EEngineer]

Earlier this week, my wife had accidently hit her head on the snack bar of our home.  This resulted in her being "knocked" unconsious for a very short amount of time.  After this incident she was seen by our family doctor who had indicated if she started feeling nauseauous or if she continued to have headaches for the next week to call and she would be scheduled for an Cat Scan.

During the course of the week she had several headaches that were light to mild in nature. Until yesterday she started feeling nauseaous and was asked to report to the radiology clinic to have a Cat Scan perfomed.  The radiologist had noticed "spots" on the white matter of her brain and suggested we follow up with an MRI.  The MRI was performed this morning with the results being the same...... The largest of the "spots" was about 2cm and the others were smaller.  Our familty doctor mentioned that due to the location of the "spots", they are not typically located in the areas that my wife has them, and of course didn't seem to alarmed of what had been found.  Our doctor then suggested we follow up with a neurologist for further examination.  My question......What could this be?  What could cause "spots" on the white matter of the brain?  I guess my engineering background is getting the best of me!

EEngineer

[Abhijeet Deshmukh, MD]

Hi.

MS is a distant possibility. The spots or lesions seen in her MRI can be small infarcts, possibly due to loss of blood supply during some episodes of low blood pressure. I do not see any real threat of a tumor here. But the lesion is 2 cm in size. This is a pretty big lesion. An MRI should usually be sufficient to tell if it is a tumor.

I would still recommend that you should meet the Neurologist at the earliest. Wondering about different possibilities only increases the anxiety.

Regards

[Minchu]

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Regards

Tushar Kulkarni

[EEngineer]

Does this follow the characteristics of a tumor or any other major disease?  Our doctor sounds like he is ruling out MS due to the locations of the "spots".

Thanks

[Abhijeet Deshmukh, MD]

Hello.

The white spots that were seen in the MRI can actually be insignificant findings. There are many individuals who are healthy, without any symptoms or complaints, having these white spots. These are usually accidentally found. But I would recommend that you show this MRI to the Neurologist.

A Neurologist's consultation is important as there will be a thorough neurological examination which may reveal any problems she might have.

Regards