Monday, November 24, 2014
Help-what does this mean?
I have had headaches for over 10 years. Recently had an mri done, got results back saying "Abnormal signal at the left ventricle of the white matter". As i result i have to have another mri done with contrast now. I am very worried, what do these results mean? I got lyme disease 1 year ago, was on antibiotics right away for 10 days for it, could it be that? I also had Henoch Shlonlen Purpura when i was 7 year old, and had a fractured skull when i was being delivered as a baby 30 years ago. Apart from headaches that are over my sinuses, thats really the only symptom i have.
White matter changes is a very common finding in the MRI scan. Frequently it is a benign finding such as from migraine headache. Other causes include hypertension, infection, inflammation, trauma and stroke. From your brief description, my impression it is a benign finding in your case. However, because of your history of lyme disease and Henoch Shlonlen Purpura, I recommend referral to an infectious disease specialist and Rheumatologist to exclude lyme disease or inflammatory process.
Yousef Mohammad, MD, MSc
Director, Stroke Fellowship Program
College of Medicine
The Ohio State University