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    Old 10-07-2009, 04:17 PM   #1
    cindy0
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    brain mri results

    I received my MRI results today and I'm not sure what the findings mean. It seems as if it's a guess as to what is wrong. I'm hoping perhaps someone can help. The results are: Hydrocephalus, hemorrhage, midline shift, or territorial infarction. Single punctate FLAIR hyperintensity in the left centrum semiovale may be related to premature microvascular change or migraine sequela. Parenchymal signal otherwise unremarkable. Orbits are normal and large vessels are patent. No lesions along callesoseptal margin. No abnormal enhancement.

     
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    Old 10-07-2009, 04:25 PM   #2
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    Re: brain mri results

    SOME OF THE DEFINITIONS
    SORRY BUT IT DOES NOT MAKE GOOD READING
    Hydrocephalus
    Hydrocephalus[1] (pronounced /ˌhaɪdrɵˈsɛfələs/), also known as "water on the brain", is a medical condition. People with hydrocephalus have abnormal accumulation of cerebrospinal fluid (CSF) in the ventricles, or cavities, of the brain. This may cause increased intracranial pressure inside the skull and progressive enlargement of the head, convulsion, and mental disability. Hydrocephalus can also cause death.

    hemorrhage
    Bleeding, technically known as hemorrhaging or haemorrhaging (see American and British spelling differences) is the loss of blood or blood escape from the circulatory system.[1] Bleeding can occur internally, where blood leaks from blood vessels inside the body or externally, either through a natural opening such as the vagina, mouth, nose, or anus, or through a break in the skin. The complete loss of blood is referred to as exsanguination,[2] and desanguination is a massive blood loss. Typically, a healthy person can endure a loss of 10-15% of the total blood volume without serious medical difficulties, and blood donation typically takes 8-10% of the donor's blood volume.[3]


    midline shift
    Midline shift is a shift of the brain past its center line.[1] The sign may be evident on neuroimaging such as CT scanning.[1] The sign is considered ominous because it is commonly associated with a distortion of the brain stem that can cause serious dysfunction evidenced by abnormal posturing and failure of the pupils to constrict in response to light.[1] Midline shift is often associated with high intracranial pressure (ICP), which can be deadly.[1] In fact, midline shift is a measure of ICP; presence of the former is an indication of the latter.[2] Presence of midline shift is an indication for neurosurgeons to take measures to monitor and control ICP.[1] Immediate surgery may be indicated when there is a midline shift of over 5 mm.[3] The sign can be caused by conditions including traumatic brain injury[1] and stroke that raise intracranial pressure
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    Old 10-08-2009, 09:13 AM   #3
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    Re: brain mri results

    i am just wondering what exactly prompted the scan to be done to begin with? did you suffer some level of actual trauma or just symptoms? what symptoms were you having pre scan and now?

    if you could actually type out what was stated at the very end of your MRI report in that summary word for word as the radiologist described these findings it would really help alot in determining how severe he thought this was when he saw i upon your films. the one huge thing that you have to keep in mind is alot of what ends up in any report is ONLY what the radiologist 'feels' is going on based upon what he or she knows by experience and overall knowledge too. and how any finding is actually described word for word really matters too. that why seeing that summary would seriously help. marcia
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    Old 10-08-2009, 03:00 PM   #4
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    Re: brain mri results

    Thanks you for the replies to my message. I have had 4 episodes of vertigo this year that last for hours. This is what prompted my visit to a GP which referred me to an ENT. The ENT didn't find any issues with my ears during the visit which resulted in the MRI. In addition to the vertigo, I have had numbness/tingling in arms/legs. Occassional numbness in fingertips on right hand and one toe. I wake up tired, tired thoughout day and go to bed tired. I am unable to stay focused and have problems with my memory. I have muscle cramps in my legs and sometimes in my arms. The cramps feel like my leg muscle are contracting. I have balance issues as well. All the above have been occuring over the past 17years. I did loose my balance several years ago and hit my head outside on the lawn, but I don't think I fell hard enough to cause brain trauma.

    After the brain findings on my mri results is the following:

    IAC Findings: Temporal bones show symmetric signal and morphology. Posterior fossa vasculature patent. IAC's and cerebellopontine angles unremarkable. A 2mm focus of punctate rounded enhancement is present in the mid right IAC on axial #13, not demostrated on coronal imaging, possibly due to phase of contrast. Seventh/eighth nerve complexes otherwise unremarkable, without other evidence of abnmormal enhancement.

    Impression: 2mm tiny enhancing nodule in the mid right IAC seen on a single image, possibly a small vestibular schwannoma.

     
    Old 10-09-2009, 08:58 AM   #5
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    Re: brain mri results

    Quote:
    Originally Posted by cindy0 View Post
    I received my MRI results today and I'm not sure what the findings mean. It seems as if it's a guess as to what is wrong. I'm hoping perhaps someone can help. The results are: Hydrocephalus, hemorrhage, midline shift, or territorial infarction. Single punctate FLAIR hyperintensity in the left centrum semiovale may be related to premature microvascular change or migraine sequela. Parenchymal signal otherwise unremarkable. Orbits are normal and large vessels are patent. No lesions along callesoseptal margin. No abnormal enhancement.
    I bolded the words above. I suspect the radiologist has written NO hydrocephalus, hemorrhage, midline shift, or territorial infarction. If the NO is missing, I would quite frankly expect it to be a (admittedly major) typo. If you had all of those things, I don't think you would be sitting at a message board typing. I think you would be in the hospital in a coma.

     
    Old 10-10-2009, 07:52 AM   #6
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    Re: brain mri results

    There isn't a no before the Hydrocephalus, hemorrhage, midline shift, or territorial infarction, but it would make more sense if the sentence did have a no at the beginning. It definately could be a typo on the report. I have a follow up visit with the ENT who sent me for the MRI on Tuesday. So, hopefully he can explain the report.

     
    Old 10-10-2009, 08:19 AM   #7
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    Re: brain mri results

    have they ever also done an MRI on at least your c spine area too just to see if any of the symptoms you mentioned could also be stemming at least in part from some level of problem within that c spine? some of what you are actually describing sounds like whats called 'radiculopathic' types of symptoms that usually would indicate things like possible herniations or even boney overgrowths called osteophytes or bone spurring? those are just a couple of the possibles you can have wrong or going on in any given area of your spine that can and do casue pain and very odd symptoms. thats the radiculopathy part. its just ALWAYS possible to have spinal problems and brain issues too(or any number of other conditions as well). since some brain issues can mimic certain spinal problems and vice versa, its just always a good thing when you are displaying the types of real symptoms that you are, to simply test it and rule it in or out as a possible problem area too, ya know what i mean?

    it really sounds like just from the summary of that rad report that they DID find 'something' that is approx 2mms in size but i don't know if they have really defined it from the way it is worded. the thing here is,balance rally has to do wioth two places the most, the cerebellum or cerebellar tract within the spinal cord,or the equalibrium within the ears? since the ear thing appears to not be a part of this,that would leave the the cerebellum or the spinal cerebellar tract too that simply runs thruout your cord that brings info back and forth from the body to and from the cerebellum within the brain. the cere also governs, besides balance, our proprioperception which is how we see our body parts in relation to space, and also vision too. any eye issues?

    depending upon just what this schwannoma is or does or where it is exactly located within your brain would tell alot about whether or not this could even be responsible for what you have been feeling. i just really DO thuinkthat obtaining that spinal MRI would really really help to either rule somnething else in or out as a possible generator of your ongoing symptoms.

    since this has actually been going on for soo long, there very well could be an actual congenital type of malformation that is in or a part of your spinal area like i had. i just did not know this little glob of blood vessels even existed at all inside my spinal cord til i had to have an MRI done on my c spine when i herniated a disc. it just showed up. i was actually born with this little glob called a cavernous hemangioma right inside of my cord, and like i mentioned already, just did not have a freaking clue it was there til it showed as an 'incidental finding' upon getting that very first ever MRI done that just happened to be the area of my hernation too or i probably would not have known til it bled again and i suddenly became paralyzed from that final bleed. that was just how big it had become from the size of the actual cavernoma itself and combined with bleeds it had actually had over the years which enlarges the amount of cordspace it takes up.

    tho there are considered a rare occurance, they can occur as well as other little congenital anomalies or defects we just don;t know about til an area happens to get scanned. so just to really 'see' what could be going on within espescially that c spine, just given the fact that you are having symptoms with arms in the upper torso and the symptoms with the lower too, that c spine would be the most likely area to have something wrong since it would just have to be in that level in order to actually give you both arm and lower torso types of symptoms too, you get what i mean? this is only becasue once you get down to the very first T spine level, which also innervates the arms to a degree, that is where arm innervation just stops within the spinal levels. nothing beyond that T 1 vertebrae actually innervates anything above it, everything innervated below that particular level is like right below the breasts on down. but if there is actually some part of your actual spinal cord involved here in any way, THEN and only then could you have the lower and upper symptoms.

    so this is the only reason i really do think thay also need to MRI your c spine too. this would simply see if anything at all is impacting that cord in some way. you just have alot of what sound more like possible spinal related types of symptoms and not so much directly related to the brain per se? have you yet spoken to at least a neuologist just to find out where this is actually located in your brain and whether or not it could even be responsible for the types of symptoms you have? if not, that really is who you need to see right now to get this better explained to you and se about getting that c spine looked at with another MRI. this is simply what i would do if i were in your current situation. you just need information and some answers too. trust me, when it comes to what is even possible to have found in any human body, ANYTHING is indeed possibe. been thru this with more than just that glob in my cord too. hopefully that finding up there is not really an impactful type of finding. but get all other possible areas that could create the symptoms at least ruled out with MRI hon. please keep me posted cindy, marcia
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    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 10-11-2009, 12:16 PM   #8
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    Re: brain mri results

    Thanks for the information. My GP is scheduling an appointment with a neurologist. I will definately mention the mri of the c-spine. I have had a stiff neck and headaches in the upper neck/base of skull area for a week or so.

     
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