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51 year old with mri results of parenchymal volume loss and…

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51 year old with...

51 year old with mri results of parenchymal volume loss and white matter changes as well as ventricles and sulk mildly prominent. I went in because I thought I had stroke. 4 years ago I had subarachnoid hemorrage. are these normal changes or result of these tia's and the past SAH? no other CT's have ever noted these changes. First time these changes showing.

Doctor's Assistant: Do you have frequent headaches? Any issues with coordination or balance?

Yup. obviously i will be following up with my neurologist but he has yet to follow up with me. i was released from ER with this paperwork and since SAH 4 years ago I am intimately familiar with my scans so this is new or at least I've never seen this reported before.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Rheamatoid arthritis so i've been taking methotrexate and humira for the last 2 years. no high b/p, normal cholesterol, normal stress test, last cebreal angiogram was normal last year

Submitted: 1 year ago.Category: Neurology
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Answered in 3 minutes by:
7/31/2017
Neurologist: Dr.Saleem, Doctor replied 1 year ago
Dr.Saleem
Dr.Saleem, Doctor
Category: Neurology
Satisfied Customers: 3,592
Experience: MBBS
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Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

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Neurologist: Dr.Saleem, Doctor replied 1 year ago

I understand your concern and would try my best to explain it.

The findings on your MRI brain are suggestive of brain shrinkage that we call cerebral atrophy in medical terms. Loss of parenchymal volume, prominemce of ventricles and sulci point towards shrinkage of brain. This could be expected with age and is a normal with human ageing process. Commenting on white matter changes is hard without having seen the films and correlation with the clinical presentation.

Would like to know when was the last time you had an MRI/ CT.

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Customer reply replied 1 year ago
Last ct was last year and no mention of "shrinkage"
Neurologist: Dr.Saleem, Doctor replied 1 year ago

Yes but these changes definitely depict shrinkage / atrophy.. Normal ageing related atrophy would also be expected usually after late 50s.

So it could be the TIAs if you havent had a stroke .Stroke can cause brain atrophy by interrupting normal brain blood flow. The areas of the brain that do not receive blood begin to rapidly die, thus causing atrophy, potential cognitive deficits or even death in sever cases.

Recurrent TIAs can cause atrophy over period of time.

Excessive alcohol is another possible cause only if you have a history.

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Neurologist: Dr.Saleem, Doctor replied 1 year ago

hope it answered your query.

Feel free to ask any more queries.

Please reward a 5 stars rating if you are satisfied.

You can always opt-out if you need a second opinion.

Please avoid leaving a low rating as it hurts an expert's standing

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