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No other symtoms. Had MRI for headaches,

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> Description
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> The long TR sequences show multiple areas of deep white matter and
> subcortical white matter high signal.
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> In particular there is a 7x4mm lesion lying under the left insular cortex.
> A second 7mm lesion is seen adjacent to the body of the left lateral
> ventricle. Multiple small lesions are seen adjacent to the body of the
> right lateral ventricle, but no posterior fossa lesions are seen and no
> corpus lesions are noted. The ventricular system and cisterns are of normal
> size and shape, there was no shift in the midline structures. The paranasal
> sinuses are clear. There is no evidence of restricted diffusion of any of
> these lesions.
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> Comparison with the previous MR scan dated 29/09/09 indicates that the two
> large lesions seen in the left hemisphere are new.
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> Opinion
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> No cause for the patients headaches, however the new lesions, one
> subcortical and the other periventricular are added evidence of subclinical
> demyelination.

This was the result of MRI I am 29 year old female, got scan as constant headaches. Neuro happy not cause for headaches and advised does not really know what this means or could mean but as I have no symtoms no follow up or other tests! I am worried what this may mean? Any help
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replied December 21st, 2013
Hello, thank you for your question. The location of the white matter lesions is not consistent with MS. As far as I understand you have no symptoms besides headaches. This type of lesions are commonly found in migraine. I, personally, do not investigate further this type of lesions in migraineurs. In some cases when the lesions look too large I do blood work for autoimmune disorders such as lupus or rheumatoid arthritis.


Providing Top Neurology Services in the New York area. Excellence in treating headaches, dizziness, and head pain.
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