Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology
This answer was rated:

MRI report states: The ventricles, basilar cisterns, and

MRI report states: The...
MRI report states: The ventricles, basilar cisterns, and cerebral sulci are mildly prominent. No masses, midline shift, hydrocephalus, extraaxial or intraxial fluid collections are noted. Extensive periventricular and subcortical white matter T2 hyperintense foci are noted, consistent with small-vessel ischemic disease. There are no regions of restricted diffusion. The visualized orbital structures, optic chiasm, pituitary, brainstem, corpus collosum and cerebellum are otherwise unremarkable. IMPRESSION: Mild cortical atrophic change without focal masses, acute infarcts or hemorrhage.
Patient is 83 yr old female. She had vitamin B12 and D deficiency, and has Mild Cognitive Impairment, dizziness and memory loss/lapses. Is this likely Alzheimer's, or possibly something else? Thank you.
Show More
Show Less
Ask Your Own Neurology Question
Answered in 3 minutes by:
6/15/2012
DrBrain
DrBrain, Neurologist
Category: Neurology
Satisfied Customers: 3,262
Experience: Diplomate, American Board of Psychiatry & Neurology
Verified
DrBrain : Hello welcome to just answer.
DrBrain : My views expressed are for educational purposes only.
DrBrain : Based on MRI results she has mild atophy whic is related to her age and it's normal. She has the white matter changes which according to her age is regarded as age appropriate.
DrBrain : Its not suggestive of Alzheimer's diseases.
DrBrain : Diagnosing Alzheimer's is based on clinical exam and not on MRI.
DrBrain : If you have no further questions then please press the accept button, Thank you.
Customer:

what about the prominent ventricles, etc ? she had clinical exam


DrBrain : Prominent ventricles would happen due to mild atrophy she has.
Customer:

Does memory structure appear intact, hippocampus, etc... can you tell from the report?


DrBrain : No the report doesn't report any area for hippocampus.
DrBrain : If it was abnormal they would haven wrtiten in the impression.
Customer:

Can you explain memory loss, any guesses please if not alzheimers.


Customer:

Do we have cause for concern, other than old age?


DrBrain : As person ages person may get dementia so if cognitive functioning has affected then it might be due to onset of dementia. Vitamin B12 deficiency can also cause deficiency.
DrBrain : Not likely any concern other than vitamin b12 deficiency and age is an important factor.
Customer:
DrBrain : Based on this MRI nothing is dangerous and findings are age appropriate.
Customer:

her doctor prescribed high dose b12 supplements and levels returned to normal.


DrBrain : Ok once the vitamin b12 is at normal level her cognitive skills would improve.
Customer:

small vessel ischemic disease is not too concerning?


Customer:

her shot term memory is almost gone, and her cognitive is poor.

any suggestions. I'm appreciative.

DrBrain : No it's expected at this age.
DrBrain : She needs to keep her cholesterol and sugar levels normal and also blood pressure.
Customer:

Thank you. Are you well qualified with the brain? Your impression of her

condition isn't as severe as we had feared. you think the MRI is basically

DrBrain : Vitamin B12 deficiency can cause this so once her levels are normal her memory would be better but at this age improvement would be very slow.
DrBrain : Youre welcome. I deal with atleast more than 10 patients a day with dementia so I am well aware of this type of condition.
DrBrain : I see more than 10 patients a day with this condition.
DrBrain : No it's not serious.
DrBrain : Mri is normal and age appropriate.
Customer:

Normal for her age? You think she could have or will have dementia, but not Alzheimer's?

Would another mri in a year or so determine alzheimer's?

DrBrain : MRI would not determine Alzheimer's. Dementia can become worse and can result in Alzheimer's.
Customer:

Thanks.


DrBrain
DrBrain, Neurologist
Category: Neurology
Satisfied Customers: 3,262
Experience: Diplomate, American Board of Psychiatry & Neurology
Verified
DrBrain and 87 other Neurology Specialists are ready to help you
Ask your own question now
Ask DrBrain Your Own Question
DrBrain
DrBrain
DrBrain, Neurologist
Category: Neurology
Satisfied Customers: 3,262
3,262 Satisfied Customers
Experience: Diplomate, American Board of Psychiatry & Neurology

DrBrain is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,731 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
Exercises to ease pain caused by siadica. Six months when I
six months when I sit for a long time there is pain in my left buttox … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
I slipped on ice and fell on my left elbow. The elbow was
I slipped on ice and fell on my left elbow. The elbow was cut so deep it needed 6 stitches. I had an x-ray and there were no breaks. I went to an orthopedic octor today because the pain was so bad, it… read more
Dr. Chip
Dr. Chip
M.D.
12,980 satisfied customers
I had synovial cyst removed (not all of it as it was wrapped
I had synovial cyst removed (not all of it as it was wrapped up … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
I have been experiencing a pain in the mid calf when
I have been experiencing a pain in the mid calf when standing, It is relieved somewhat by stretching my foot and walking. It does not occur when lying down or sitting. I also have some discomfort in t… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
I have some nerve damage around C5 which radiates down my
I have some nerve damage around C5 which radiates down my right arm. I've had 2 steroid injections that had NO effect at all. I need to find an alternative that works! Should I try Acupuncture or what… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I am having a very hard time keeping my balance, and walking
I am having a very hard time keeping my balance, and walking straight … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
Trying to find out what is wrong with me. This has been
Trying to find out what is wrong with me. This has been going on about a year. I injuried my C1 vertebra and now have numbness and pain in my arms while driving, severe anxiety, nausea, vomoiiting, di… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I have a question about my eye. My vision is perfect, i have
My vision is perfect, i have some strange sensation in my eyelashes/eyelid … read more
Medicaldoctor
Medicaldoctor
postgraduate resident,MD
Master\u0027s Degree
92 satisfied customers
66 yr old male suffering from fatigue from stress, possibly
66 yr old male suffering from fatigue from stress, possibly low thyroid, and adrenal fatigue I don;t know. . Tire easily during the day, hoarse voice, hair seems to be thinning. Also tapering off klon… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
I have mild foraminal stenosis at C6-C7, could this be
I have mild foraminal stenosis at C6-C7, could this be causing weakness in right arm and leg? Arm is worse than leg… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Yesterday I was getting some tingling in the top of my head.
Yesterday I was getting some tingling in the top of my head. Then I noticed pressure in my head and neck with certain head movements. At one point, after looking up at something, I felt lightheaded. L… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I am wondering if you might be able to help. I am currently
Hi there I am wondering if you might be able to help … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,772 satisfied customers
I have pain in the right bottompart of my back. No injuries.
I have pain in the right bottompart of my back JA: Have you had any recent injuries? What seems to make the pain better or worse? Customer: No injuries. nOTHING HELPS JA: Anything else in your medical… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
I am experiencing bruising on my upper right arm, however I
I am experiencing bruising on my upper right arm, however I don't discover it until morning. I have two thus far … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
I have a indention in my forehead that just appeared this am
I have a indention in my forehead that just appeared this am just slightly to the left of my left eye. … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I had an MRI performed on my brain due to my visual
I had an MRI performed on my brain due to my visual perception being off not seeing and understanding my location correctly while driving. I did bump someone and almost got into a larger accident. The… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
My 26 year old son is suffering from recurrent headaches. He
My 26 year old son is suffering from recurrent headaches. He is having trouble sleeping. He does not have a fever, When he has the headache which is off and on all day long, he is hungry but naueated … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,238 satisfied customers
Getup this morning dizzy and I could not wack whiteout
Getup this morning dizzy and I could not wack whiteout olding the wal … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
6,442 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x