Recent MRI that states multiple scattered areas of gliosis are identified within both cerebral hemispheres deep white matter as well as the left cerebellar hemisphere and low brainstem. orientation and distribution is worrisome for the possibility of multiple sclerosis. Further testing should be performed to evaluate this possible. (No symptoms of MS; 35 years of migraines, including ocular and vestibular; past grand mal seizure history with 3 occurring in one day in 1997; ex smoker of 25 years female, 51 years old. Should I be concerned?
Hi, Thanks for choosing healthcaremagic. Areas of gliosis in the brain occurs due to any previous insult like infarct/hemorrahge/infection. As per your history, you have not had any attack of stroke so most likely the gliosis maybe residual of some old infection. Multiple sclerosis has definite diagnostic criteria and the findings don't fit in those, so I dont think its because of MS. Apart from that, the clinical correlation for MS should also be present. Also, MS is diagnosed by comparing previous MRI and checking for newer lesions. According to your history, it is most likely due to previous infection. Those changes of gliosis are residual changes so you need not worry about them. Hope it sorts your problem and wishing you a speedy recovery. Regards, Dr. Pankaj Nagori Specialist Radiologist
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Hi, Thanks for choosing healthcaremagic. Areas of gliosis in the brain occurs due to any previous insult like infarct/hemorrahge/infection. As per your history, you have not had any attack of stroke so most likely the gliosis maybe residual of some old infection. Multiple sclerosis has definite diagnostic criteria and the findings don t fit in those, so I dont think its because of MS. Apart from that, the clinical correlation for MS should also be present. Also, MS is diagnosed by comparing previous MRI and checking for newer lesions. According to your history, it is most likely due to previous infection. Those changes of gliosis are residual changes so you need not worry about them. Hope it sorts your problem and wishing you a speedy recovery. Regards, Dr. Pankaj Nagori Specialist Radiologist