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Dr. Andrew Rynne

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MRI Of Brain Shows Multiple Small Areas Of Restricted Diffusion, Lacunar Gliotic Focus At Basal Ganglia. Curable?

We have an MRI -Brain of my father which was performed using T1 weighted gradient echo, T2 weighted fast spin echo & fast FLAIR sequences. The report shows the following: 1) Multiple small areas of restricted diffusion seen in the bilateral cerebellar hemispheres, vermis and right lateral medulla. 2) Lacunar gliotic focus is seen in the left basal ganglia . Few Lacunar hyperintense foci are seen in the bilateral fronto parietal white matter on FLAIR images. what does it indicate? Is there a cure for this?? Nitin
Fri, 14 Dec 2012
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Neurologist 's  Response
Hi,

Thank you for posting your query.

Your father's MRI reports multiple areas of infarcts (lack of blood flow). Treatment requires use of blood thinners such as aspirin or clopidogrel.

In addition, the risk factors for brain stroke such as BP, sugar, cholesterol and homocysteine should be identified and properly treated.

With the above measures, we can treat him and prevent any major paralytic stroke.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Apollo Hospitals, Hyderabad
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MRI Of Brain Shows Multiple Small Areas Of Restricted Diffusion, Lacunar Gliotic Focus At Basal Ganglia. Curable?

Hi, Thank you for posting your query. Your father s MRI reports multiple areas of infarcts (lack of blood flow). Treatment requires use of blood thinners such as aspirin or clopidogrel. In addition, the risk factors for brain stroke such as BP, sugar, cholesterol and homocysteine should be identified and properly treated. With the above measures, we can treat him and prevent any major paralytic stroke. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Apollo Hospitals, Hyderabad