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What Does This MRI Report Indicate?

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Posted on Wed, 21 Oct 2015
Question: Dear Doctor 6months back I have severe vertigo,imbalance,weakness and vision blurr problem.MRI was done and report shows focal subcortical flair hyperintensity noted in right frontal lobe,parafalcine location with thinning of adjacent gyri- sequelae of previous insult. Prominent sulci and lateral ventricle for age.
Based on the MRI result doctor told im suffering with anxiety.I also had other symptoms like indigestion,numbness, fear of heights, fatigue, shortness of breath .I have been visited almost to all doctors like gastronaut ,opthomologist ,ENT and results found ok. I see objects are moving a side of me while walking, travelling.One opthomolgist told me that my puplis got dilated and that's the reason I see things in blurr.My neurologist has done VEP,BERAVEMP AND VIDEO EEG AND NO abnormalities noticed.He put me on with lamosyn 50mg.lonazep md0.25,prodep 20mg,multigates vit tablet and qmind sr100.With this im a bit ok but moving disturnances during walking and travelling and vision blurr remains same.Need suggestion on how to proceed further ?Is gliosis the reason for all these symptoms?what does it means.I also has pyeloplasty kidney surgery in my child hood and currently my kidney function is only 14% on left side right side is ok with 85 %.Im taking medicines from last 6 months im worried about my kidney too as I feel mild pain on left side.please suggest. I also see if any vehicles goes in front of me the front or
doctor
Answered by Dr. Sudhir Kumar (4 hours later)
Brief Answer:
You are on correct treatment.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms and agree with the current line of management.

First of all, I would like to reassure you that the MRI abnormalities are minor and there is no need to worry about that. MRI changes are old and could have occurred due to minor injury or lack of blood flow or infection. What we are seeing now on MRI are old changes, and there is no active disease.

Please continue your current medications and I am sure you would improve over time.

If ever you are in XXXXXXX I would be pleased to see you.

In case of any further queries, please get in touch again.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (39 minutes later)
Dear sir thank u for your reply.I would like to get some details regarding my vision blurr which is troubling me more.I see things in blurr like foggy not clear at all.at nights it is difficulty for me to see Led lights .wt is the reason for that? Should I consult a neuro opthomologist because already I have undergone visual field and vep ,beravemp tests and no abnormality seen.i have gone to 3 to 4 opthomologist and could able to read 6 meters distance easily.but one doctor told me I have pupil dilation.please suggest me on this to whom I should consult as im more worried about my vision. Im a native of XXXXXXX working in XXXXXXX XXXXXXX benz plant.because of these issues im avoiding travelling.will surely meet once i feel little bit comfortable for travelling.pls confirm how long it will take for me to come out of this.
doctor
Answered by Dr. Sudhir Kumar (5 minutes later)
Brief Answer:
You should consult Neuro-ophthalmologist

Detailed Answer:
Thank you for getting back.

You should consult a neuro-ophthalmologist. At XXXXXXX you can consult a doctor in XXXXXXX Netralaya, which is well known and has good doctors.

Once properly treated, you should get better in a few months.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (6 minutes later)
Ok sir thanks for your valuable reply.will meet neuro opthomologist and will get back to u based on the results.
doctor
Answered by Dr. Sudhir Kumar (3 minutes later)
Brief Answer:
Sure.

Detailed Answer:
Please get back with the opinion of Neuro-ophthalmologist.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Note: For further follow up on related General & Family Physician Click here.

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

Neurologist

Practicing since :1994

Answered : 6231 Questions

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What Does This MRI Report Indicate?

Brief Answer: You are on correct treatment. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms and agree with the current line of management. First of all, I would like to reassure you that the MRI abnormalities are minor and there is no need to worry about that. MRI changes are old and could have occurred due to minor injury or lack of blood flow or infection. What we are seeing now on MRI are old changes, and there is no active disease. Please continue your current medications and I am sure you would improve over time. If ever you are in XXXXXXX I would be pleased to see you. In case of any further queries, please get in touch again. Best wishes, Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist