My daughter has been suffering from migraines for several years. She is now 12. As time has passed on her headaches have gotten worse. She suffers from them 3-5 times weekly with different intensity. She has been on many different medications to try to control the frequency of migraines. She has tried topamax, verapamil, and is now on cyproheptidine. She takes maxalt odt 10mg on a regular basis. Last December,2010, her first MRI was performed. The findings showed that on the right temoral lobe there was a small nonspecific white matter lesion. A small mucous retention cyst of the left maxillary sinus with minor mucosal thinckening of the paranasal sinus. We were to told to wait 6 months for a follow up. This MRI was done in June of 2011. The MRI was with and with out contrast.
These are the finding from the report that was given to my husband and I.
There was a small foxus of increased signal intensity seen in the white matter of the anterior aspect of the right temporal lobe. This measures 78mm in size. This was present on the previous study and is not changed. This may represent a focal area of gliosis. A low grade glioma cannot be ruled out. There is no abnormal contrast enhancement. There is no mass effect. No other intracranial abnormality is seen. There is no evidence of intracranial hemorrhage or acute infarct. Ventracles normal in size. There is a small focal area of some linear and serpiginous contrast enhancement seen with in the right cerebellar hemisphere consistent with a small venous angioma. There is also a small focal area of increased signal intensity involving the mucosa of the roof of the left maxillary sinus. This may represent focal a small plyp or small complex mucous retention cyst.
Impression: Small focal white matter abnormality within the right temporal lobe. This is nonspecific of uncertain etiology. This may represent a small focus of gliosis. Other etiologies including Lyme Disease or a small low grade glioma cannot be excluded. This abnormality is unchanged from previous study. There is a small venous angioma in the right cerebellar hemisphere.
Does anyone have any idea on what important points we should be taking home from this report. My daughters neurologist is very lax. She told us not to worry and to just continue with what she is taking. She would have to just deal with this. She did not discuss the report with us or give us a game plan for my daughter. After this test was performed my daughter had a 6 day run of headache/migraine. She was put on prednisone for 6 days. It took them away and she felt like a new child but only for 8 days. No other progress has been made. We have chosen to go and see another neurologist.
I Think you are right to get a second look at what is going on. Her body is growing and she wants to to a normal kid. Go with your gut. I am 39 with Migraines had a cranionomy for a menigioma, also had a new area of gliosis this MRI a few days ago. I had brain radiation tx though so may be why. I feel for u guys. It is hard enough as an adult to deal with. My area of damage is only around 25mm her's is much larger and I have some cognitive problems. Please post an update as I will be praying for you.