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Dear Ask The Doctor: I am a 63 year old female. I was recently experiencing dizziness in certain positions and my ENT recommended an MRI of the brain. (The dizziness stopped after five weeks.) Although no brain tumor was detected, there is a portion of the MRI report that I'd like clarified, which read as follows: On the axial FLAIR images there is a periventricular white matter hyperintensity in the left frontal lobe. Three punctate subcortical white matter hyperintensities are seen in the left frontal lobe. One is noted at the left parietal lobe as well. These are nonspecific and may represent small foci of gliosis and/or small vessel disease. The possibility of a demyelinating process is felt to be less likely. There are no areas of restricted diffusion on the DWI imags and no parenchymal nor meningeal enhancement is noted. I'm not a smoker, eat very well, am not overweight and work out approx. 5 days per week. Does it sound as though I should be concerned regarding this MRI report?
Dear Rosanne: Your MRI results simply show signs of aging and those not suggest any significant disease. There are number of conditions that can cause dizziness (vertigo). Your description suggests possible benign paroxysmal positional vertigo. In this condition patients experience dizziness when their head is placed in certain position. An MRI is usually done to rule out more serious causes of dizziness. |
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Last Updated ( Tuesday, 18 May 2010 )
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