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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Trigeminal Neuralgia, MRI Shows Encephalomalacia In The Right Frontal Lobe, Having Memory Issues. What To Do ?

i lost my neur. because of his legal issues. I have trigeminal neuralgia, diagnosed 11/2007. the radiology report had no abnormal findings in Mri at that time. New Mri done because of more migraines and pain 2/2013 shows encephalomalacia in the right frontal lobe. I am now waiting to see a new neuro. should I have both sets of Mri films reviewed by and indepentand radiologist before my new appt. I am just not sure that I trusts just one persons opinion. and where would I go to have someone look at these or could I mail or email these images to a radiologist. I am in pain and I need to stay on top of things which is getting harder. I understand now why I have been having so much trouble with memory and processing. thank you for your imput AAAAA
Tue, 9 Jul 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

The two MRI reports are not matching. Encephalomalacia is often a result of old brain stroke or brain injury. Since you do not have any such history, it is difficult to establish the cause of encephalomalacia. Also, your earlier MRI was normal, this means there should have been an event between the two MRIs.
You need second opinion on the two MRIs. If you can upload the MRI images, it can help us.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Have Trigeminal Neuralgia, MRI Shows Encephalomalacia In The Right Frontal Lobe, Having Memory Issues. What To Do ?

Hi, Thank you for posting your query. The two MRI reports are not matching. Encephalomalacia is often a result of old brain stroke or brain injury. Since you do not have any such history, it is difficult to establish the cause of encephalomalacia. Also, your earlier MRI was normal, this means there should have been an event between the two MRIs. You need second opinion on the two MRIs. If you can upload the MRI images, it can help us. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist