* No SNAFU.
FINDINGS
As per the previous scan, there are multiple foci of T2 hyperintensity
within the white matter of both cerebral hemispheres, in keeping with
moderate chronic small vessel ischaemic change...
No focus of restricted diffusion is seen to suggest a recent infarct.
No focus of susceptibility artefact is seen to suggest intracerebral
haemorrhage.
No mass lesion is seen within either cerebral or cerebellar hemisphere or
the brainstem.
There are normal appearances of the pituitary, no pituitary mass or
suprasellar mass is identified, there are normal appearances of the optic
chiasm.
Normal appearances of the craniocervical junction.
The ventricular system is symmetrical and of normal size with no evidence of
hydrocephalus or raised intracranial pressure.
Normal appearances of both orbits...
Normal vascular opacification.
No abnormal enhancement is identified.
CONCLUSION
Stable appearances compared to the previous MRI scan from 27 October 2018.
Moderate chronic small vessel ischaemic changes with a mature lacunar
infarct within the left cerebellar hemisphere.
No more recent infarct is identified.
No mass lesion is seen, no chiasmal lesion is identified.
Sorry about all that technical stuff - you must be tired of that after reading the music and religion blog posts from other sites.
That's a relief though and the scheduled cataract operation (lens replacement) can go ahead in a few weeks.
Remember - I'll be keeping an eye on you.
 |
| But might not need spectacles to do so after the operation. |
9 comments:
Just a minute, it did say :"Moderate chronic small vessel ischemic changes with a mature lacunar infarct in the left cerebellar hemisphere". This is a condition caused by cerebral small vessel disease (cSVD). cSVD is a pathological process that affects small blood vessels in the brain.
Causes
Vascular pathologies
Small penetrating cerebral vessels can become blocked due to lipohyalinosis, microatheromas, or other vascular issues.
Risk factors
Hypertension, diabetes, smoking, high cholesterol, and genetic factors can increase the risk of cSVD.
Symptoms
Lacunar infarcts can cause sudden-onset unilateral hemiparesis, which is weakness in the face, arm, and leg on one side of the body.
A cerebellar lacunar infarct can cause nausea and vomiting due to dizziness.
Treatment
Treatment focuses on reducing risk factors and preventing complications.
Treatments include:
Medications to lower blood pressure and cholesterol
B vitamins to lower homocysteine levels
Aspirin or blood thinning drugs
Quitting smoking
Healthy diet, exercise, and weight loss
Long-term prognosis
Lacunar stroke is rarely fatal, but there is an increased risk of death from cardiovascular causes a few years after the infarct.
There is also an increased risk of developing cognitive decline and dementia.
Oh well...somethings gonna get ya in the end anyway and you can still drink ridiculously expensive champagne by the sounds of it.
Mmm, thanks doc.
Just as well then that I take medication to lower blood pressure and cholesterol, take a daily blood thinner, don’t smoke, eat a healthy almost vegetarian diet, regularly exercise and have already cognitively declined.
What else have you got?
Now he's a bloody doctor! God almighty!
Hey Peter, great that the results sound good. You take care and keep well.
I guess that, as a professional commercial cleaner and a practising (and improving) Catholic, Robert has the necessary skills required if he either makes a mess on the floor during his doctoring and surgeoning or totally cocks up and has to administer Extreme Unction.
Thanks for that. I also had a call from the eye specialists who said that it was all clear on the results and we can progress with the surgery. Hopefully Southern Cross insurance will cover most of the costs but hey! even if they don't eyesight is too important to do without. I can aways forgo one or two of those "ridiculously expensive champagnes".
Maybe Robert was away that day in Christian Doctrine and Catechism class when the nuns were teaching empathy, compassion, humanity and consideration.
No unction is more extreme. That's for damn sure.
Both Brother Benedict and Brother Leon missed that day too.
Keep well, my friend.
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