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GLIOSIS in brain scan in IBC. BRAIN METS?

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Do brain mets always enhance? I had a IBC scare (no cancer showed up) last year and months later am having bad headaches. I would need an expérienced radiologist/neurologist to review my scan.
I suffer from sleep anepea (mild) and hypertension.
My radiologist told me the spots are gliosis (max 10 ish)and nothing to worry about.
There has been no change in a previous scan 4 months ago. But she has said that a few of those spots are in the juxtacortical area which freaks me out about mets

I'm afraid of brain mets and my docs having missed IBC. The diagnosis was mastitis from an unknown etiology. I would need to provide you with a link and access code to access my scans to the neurologist/radiologist

I would appreciate knowing what my spots could mean and what follow up would you suggest?

Category: Neurosurgeon

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Category: Spine Surgeon
 25 Doctors Online


Thank you for your query at
Brain mets will always enhance in Contrast MRI Brain.

I want to know few details before I answer your other questions.

What's your age?
Other co-morbidities like diabetes, hypertension or heat problems?

Also kindly send the details to log in, to see your scan on the website.
I tried logging in but it is asking for user name and password. I understand the details are confidential. But i can assure you no one apart from me will have access to it.

Patient replied :
NO examen: A10004172275 (put in this number) Date de naissance (date of birth): 1973-03-07 (put in this date of birth)

sleep apnea and hypertension

Dear Ms Epiney,

Thank you for providing the required details.
I have gone through the MRI images of your brain. They are not suggestive of any metastatic deposits in your brain. I regularly deal with patients have brain Mets from various primary cancers of the body. You can definitely have a relaxed mind. Your radiologists have not missed anything.

Have a great time.

Patient replied :

thanks - what could they be indicative of?
especially the ones in juxtacortical areas?
i am satisfied with the answer but nonetheless have asked for second
opinion from neuro-radiologist on your site.
please see this as a confirmation and not that I do not appreciate your services
please ease am waiting for your reply

The hypodensities at this age would just be gliosis or a part of the multiple sclerosis. You do not have any symptoms of multiple sclerosis.
Hence they do not carry any significance.
I can assure you from my own experience there is nothing to worry about.

Patient replied :

Why would I all of a sudden be getting pain in the right frontal lobe where the lesion is (5mm)? I get the pain on my forehead. May I ask you to go back to my scans and tell me where the lesions are on the frontal lobe and if it could correspond to my forehead. Please ask the radiologist too.
PS the details to access my access are above

Thank you for the follow up.
I have gone through your scans once again and would like to reassure you that the spots on your scan do NOT correspond to the same location where you experience a headache on your forehead. The lesions are at a significant depth from the forehead region. I would like to reassure you that these lesions on brain are not suggestive of metastases or any other cancer or the cause for your headaches.
Perhaps you could provide greater detail regarding your headaches,
where do you have them? only on the forehead or elsewhere such as the back of your head?
are the headaches associated with sensitivity to light to sound or bright light?
when you have the headaches do your eyes or nose water excessively?
how long do the headaches last for? does taking pain medication help make them better?
Also have you had your BP checked recently?
In my opinion, the most common cause for these lesions could be migraine. Tiny white lesions can occur in many people with migraine. Headache in your case could be related to migraine.
The other cause to exclude would be brain ischemia (lack of blood flow). This is more common in people with high blood pressure, high sugar and cholesterol.
The lesions are small and located in mostly right frontal region, a few are also on left frontal region.
Hope this helps,

Dr. Goutham Cugati
Category: Spine Surgeon
Residency: Neurosurgery, the Post-Graduate Institute of Neurological Surgery, Dr. Achanta Lakshmipathi Neuro surgical Center, VHS Hospital, Chennai, 2011

Postgraduate in Neurosugery: DNB, National Board of Examinations,
Part 1 - 2008, Part 2 -  2010

Medical School: Bachelor of Medicine, Bachelor of Surgery, JSS Medical College, 2004
Dr. Goutham Cugati and 4 other Medical Specialists are ready to help you

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