Joined: 31 Mar 2008 Posts: 1 Location: New Baltimore, mi USA
MRI sinus and migraine headaches Posted: 03-31-08 14:22pm
I have been suffering with sinus and
migraine headaches for years. I recently
underwent sinus surgery in october of
2007, but my symptoms are back and getting
worse. The past week has been horrible.
I was sent for an MRI on Friday, but my
dr. is going to be on vacation for the
next 16 days... I really cant wait that
long. I did get the report faxed to me
from the MRI location. I dont understand
it, I hope someone can help put it into
normal terms.
Findings: There is an 11 mm abnormal
increase T2 and FLAIR signal focus in the
periventricular white matter just superior
to the left lateral ventricle. There is
also a septated, fluid intensity, 1.8 cm
anterior-posterior by 1.1 cm transverse by
1.6 cm craniocaudal focus in the medial
right temporal lobe near the insular
ribbon just lateral to the basal ganglia.
There is no mass effect, midline shift, or
hydrocephalus.
There is mild mucosal thickening of the
left maxillary sinus. There is no other
abnormality identified. The study is
limited without intravenous contrast.
Impression:
1. Small nonspecific abnormal white
matter signal focus adjacent to the
superior left lateral ventricle.
Considerations include a demyelinating
process, and short term progress study is
recommended.
2. There is a chronic appearing, well
circumscribed, fluid intensity, septated
cystic focus in the right temporal love
which also could be followed to document
stability.
3. Left maxillary sinusitis.
Any help that anyone could give me ...
would be much appreciated.
Thank you soooo much
Jenn
|
antigone
Supporter
Joined: 27 Jan 2008 Posts: 847 Location: IL
Thanks: 40
Thanked:15
Posted: 03-31-08 20:17pm
Hi Jenn,
I am no expert at interpreting MRI
findings but I will tell you what I get
out the report. You have a sinus infection
in the left maxillary sinus. The
radiologist is suspecting a demyelinating
process (MS?). The myelin sheath covers
the nerves and serves to help conduct
impulses up and down the nerve fiber. When
there is a plaque on the nerve or in the
brain the nerve conduction is interrupted
and will present in neurological symptoms.
With MS, one demyelinating process, the
lower extremities seem to be effected
first and present with weakness and poor
coordination. There is a fluid filled cyst
in the right temporal region that is not
putting any pressure on the brain that
would cause the brain to shift to one side
(I think this is correct). I am not able
to tell you more. You need a neurologist
to interpret the results to you. I hope
this is somewhat helpful.
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