What Causes Pain On The Base Of Neck, Back And Front Of Brain And Lightheadedness?

Posted on Wed, 10 Sep 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 10 Sep 2014 Answered on

Mon, 6 Oct 2014 Last reviewed on

Question : I recently had an MRI of my head here are the results
impression:
Generalized volume loss and scattered nonspecific T2/Flair hyperintensities. Findings may be on the basis of chronic small vessel ischemic changes

I've been having headachs pain in the back and front of my head. lots of pain on the base of my neck light headed especially with rapid movements and when I make quick eye movements can the results of the MRI be causing these problems mentioned above

Answered by Dr. Indu Kumar (55 minutes later)

Brief Answer:
Underlying cause of ischemia should be treated.

Detailed Answer:
Hello XXXX

I have gone through your findings in detail.

Non specific T2 weighted or FLAIR hyperintensities in white matter of brain more than five in number is the cause of concern and need further follow up.
It may be related to ischemic changes resulting from involvement of small blood vessels.
Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile.

You also need follow up scan to detect any progression of lesions.

Generalized volume loss indicates cerebral cortical atrophy.It is an age related finding and it is found in every person with aging.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (10 minutes later)

How do I know is I have more than 5 white matter?
Should my nurologis take action right away or can further testing wait? My main concern are they headaches and light headedness and dizziness

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

Number of lesions can be counted from MRI film.
Ischemic changes are generally due to diseases like hypertension,diabetes mellitus.
It is important to rule out hypertension in your case because your symptoms may be due hypertension.
You should go for investigations as discussed earlier.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (2 hours later)

Is hypertension something to be concern about? Or is it common with my age

Answered by Dr. Indu Kumar (8 hours later)

Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

Now a days,hypertension is a common disease even in young adults.It is considered as a silent killer.
Chances of propensity of hypertension increases with age.It is a common disease in your age group.
You don't worry.Hypertension can be controlled well with medicines.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar