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let me understand what the findings in the MRI means.

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I have epilepsy, and I had a grand mal seizure on 02/19. I had not have one seizure in 5 years. However, this time I have two of them, and at the end I was dizzy. I was never dizzy before just extremely tired. I had an MRI and this is what the test says: "There are multiple scattered high T2 and FLAIR signal foci in the periventricular white matter bilaterally. This could be related to changes of chronic small vessel ischemic disease, although this would be advanced for the patient's age. Other etiologies could include demyelinating disease such as multiple sclerosis, vasculities, or infection such as Lyme's"
The doctor in the hospital told me that the MRI was normal, but I am reading the results and it does not sound normal to me. I had epilepsy since I am 16 years old. I am 43 years old now. Female, no kids, no surgeries, no smoke or drink alcohol. Overweight, no high cholesterol, slow to normal blood pressure. I tend to have headaches often, but not the migraine type. I was diagnosed with RA. I used to take tegretol, but I used to blame that medicine for my memory problems. The doctor change my medication three months ago to Lamotrigine 300 mg twice a month. After the recent seizure they added Keppra. I will really appreciate if you can let me know what the findings in the MRI means.

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Category: Family Physician-GP
 20 Doctors Online


Thank you for asking your query.

The MRI result has to be analysed in correlation to your signs, symptoms and clinical features. That's means MRI is not the final word in anything. What you have is peri ventricular white matter changes. This is a rather common finding in the MRI. And this can be due to a lot of reasons. It's sometimes a wear and tear; phenomenon. Like small strokes, aging, multiple sclerosis, Lyme's disease, Migraine, Vitamin deficiency (Pyridoxine). Your Doctor will correlate with your disease symptoms and signs and come to conclusion. In your case this could be just natural changes due to the seizure activity. Since you have migraine that could have contributed to it. So you need to worry about other conditions which are mentioned in the MRI. In other words the ‘periventricular white matter’ are non-specific.

I recommend you to follow your Doctors suggestions. You can also take a Vitamin supplement in addition to it.

Hope this helps.

Thank you

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
Dr. John Monheit and 4 other Medical Specialists are ready to help you

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