Three Months ago I started having severe migraines for which I ended up in the ER for on multiple occasions. I’ve since had to diagnose them as a mixture of basilar, barometric and tension migraines. They did a CT scan in the ER to try and figure out what was going on and found nothing because it came back normal. They did an MRI which came back ‘normal’. My primary doctor has taken me off all medication except for Effexor and Topamax.
Three months later I got a hold of my MRI results and discovered that it wasn't entirely true what they said about my MRI being, "Normal" Although I'm not very good at understanding neurological science speak so I decided that my doctors are no longer qualified to tell me the truth and have put my faith in second opinions. So I will type up my entire MRI here:
Brain MRI w/o and w Contrast, Head MRA WO Contrast 11/24/2010 4:01 PM
IMPRESSION:
1. Normal MRI of the brain and essentially normal MRA of the head.
INDICATION: HA
Technique: Routine 1.5 T MRI of the brain without and with 16 mL of Magnevist, and routine noncontrast MRA of the head.
FINDINGS:
MRI brain: Brain signal, morphology, diffusion and enhancement are normal. The cerebellar tonsils extend to the foramen magnum, with small caliber is cisterna magna, though not meeting strict criteria for Chiari malformation. Ventricles and sulci are normal. No intracranial mass or abnormal fluid collection. Visualized skull base and calvarium are unremarkable.
MRA head: Intracranial arterial flow related signal intensity and morphology are normal, with no focal stenosis, major vessel cutoff, aneurysm or malformation. The anterior and left posterior communicating arteries are clearly visualized. A hypoplastic right posterior indicating artery is likely also present. The left A1-A2 junction is fenestrated.
Does this mean that I’m likely to have a stroke or an aneurism? Am I likely to develop all the criteria for a Chiari Malformation in the future? What else could this mean?