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Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5118
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
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There are a few scattered hyperintense T2 foci in the

Customer Question

There are a few scattered hyperintense T2 foci in the cerebral white matter. There is no restricted diffusion. Minimal cerebral white matter T2 signal changes, which most likely are secondary to chronic small vessel disease.
What does this mean?
I am 53 years old and have high blood pressure that I take medicine for. My symptoms are dizziness, at times nausea. My right hand gets numb and the hand muscles pull at times. It is the dizziness that really gets me like I am going to black out at times if I move too fast or up and down.
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Bob replied 1 year ago.

Cerebral white matter T2 signal changes are very common findings over 50, especially in those with hypertension or other risk factors for small vessel pathology such as high cholesterol, smoking, diabetes, vasculitis, etc. There are rarely discernible clincal features from these changes, though dizziness is possible if the # ***** lesions is great or there are lesions in key areas of the brain associated with balance.

Expert:  Dr. Bob replied 1 year ago.

Intermittent hand numbness and cramping are more commonly seen in other conditions, such as repetitive strain injuries, carpal tunnel syndrome, cervical radiculopathies, etc.

Expert:  Dr. Bob replied 1 year ago.

Intermittent dizziness and nausea are also more commonly seen in other conditions such as disorders of the inner ear or dysautonomias in which one's blood pressure may drop rapidly and without warning, particularly upon standing up or changing positions. Certain medications, especially those used for hypertension may make this more likely to occur, so this would be important to discuss with your doctor.

Expert:  Dr. Bob replied 1 year ago.

Disorders of the inner ear are best worked up by otolaryngologists (ENTs) and dysautonomias by neurologists.