should i be concerned

[glennt]

i had an mri on my brain because Im spacing out and some times going out if I dont sit back down after standing up. the mri showed  few punctate areas white matter signal abnormality  of gliosis due to chronic underlying microvascular ischemic disease. then says no acute infarct.also extensive paranasal sinusitis and mild bilateral mastoiditis. my primary ph. did not recomend any thing should i see a neurologist for this or should i wory about it.
thank you glennt

[Dr. A. Srivastava]

Thank you for your question. Although without being able to placing your findings in context with clinical features and the results of other investigation such as hematological, MRI, I can not offer the specific advice & treatment you need. However, I will try to provide you some relevant information about your health concern.

In white matter disease or microvesicular ischemic disease of brain, pathology is associated with the brain white matter, either exclusively or in combination with grey matter changes. It occurs due to metabolism errors, exogenous toxins released by virus, autoimmune disease, leukodystrophy, demyelination, and radiation effects. Spasticity, muscle weakness, paralysis, hyper-reflexia and movement disorder may be the clinical features associated with white matter disease that need to be evaluated thoroughly. However, it is sad to say that there is no permanent cure but conservative treatment & physiotherapy exercises that would help you to regain your normal function and stopping the further progression of the disease. Please consult a neurologist in this regards. Hope this helps.

[kay290]

You are having symptoms-your primary Dr. is an idiot and igonoring your symptoms.Yes, go to a neurologist and bring a disc of your MRI with the report.

[cdfixer]

I would see a neuro if for no other reason to give your mind a break. Worry can cause more problems. I know first hand