MRI Brain results and neurology

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Regular Member

Date Joined Nov 2008
Total Posts : 23
   Posted 9/22/2009 5:00 PM (GMT -6)   
Please take into consideration that I am new to migraine (about a year and a half) and so I may say things that don't make sense, etc....
So, I humbly seek the compassionate wisdom of those who have been down this road to help me understand what the h... is going on.

I had an MRI brain a year and a half ago and it was read as "normal." Over the last four months I've had increasingly frequent and intense migraines so I started zonisamide in June with initially really good results until July but now I find that it's not too helpful. Anyway, I had another MRI this last Friday during a bad episode of migraine and the radiologist reading said: "There a few, scattered, tiny foci of increased T2/FLAIR signal in the subcortical white matter of both cerebral
hemispheres. These are nonspecific in appearance, but may be related to the patient's migraine headaches. Small vessel disease or a demyelinating process; however, cannot be excluded." He later included an addendum when the previous exam was available for comparison: "Examination 3/27/2008 is now available for comparison. The tiny foci of abnormal T2/FLAIR signal are more apparent on today's study. However, the majority of these were present on the previous study. There appears to be one new focus on today's exam that was not present on the previous study." I realize that things could be much worse, but until someone can help me understand what these "foci" are and what they mean....etc...I am kinda worried. questions are:
1. Any ideas about what these "foci" are?
2. What if my neurologist doesn't call me back about follow/up for these results? The first MRI was "normal" so we never discussed what these "foci" could be...I'm thinking that they will look at the new MRI results and think..."Oh, they were there on the previous so, there's just one new one...nothing to worry about..." Though I hope that's not what happens. Should I follow up with my neurologist? If my neurologist doesn't call to follow/up should I find a new one? (I'm not particularly fond of him anyway. Perhaps...its time.) Sorry...I'm such a mess right now.
P.S. One last question:
Does anyone get shaky before/after a migraine? This is a new symptom for me. It's really annoying. lol

April 2008
Zonisamide June 09 currently@: 200mg
Frova 2.5mg
HD Prednisone taper, 13 days

New Member

Date Joined Sep 2009
Total Posts : 1
   Posted 9/24/2009 7:23 PM (GMT -6)   

I've had migraines for about 4-5 years, so I'm not a REALLY long time sufferer of them, so I'm afraid I can't be of much help.

However, I do know that the "shaky" feeling you get is called an aura. Only about 20% of migraine sufferers get them. Its a physiological signal your body sends out saying you're getting ready to have a migraine. That's the best time to take your medicine...stop it before it has time to hit you "full force".

I'm sorry I couldn't be of much help, but I figured I would let you know about the migraines.

I wish you luck with your MRIs, and the results.

Regular Member

Date Joined May 2007
Total Posts : 328
   Posted 9/25/2009 10:25 AM (GMT -6)   
Be proactive, contact your neurologist to follow up. He or she will be able to answer your questions much better than any of us can.

Keep us posted.

DX: NDPH, Recovered(?) CRPS
RX: Lamictal, Namenda, Wellbutrin XL, Oxycodone, Oxycontin, Concerta (Methylphenidate), Clonazepam, Rozerem, Magnesium (1200 mg/d), Riboflavin (400 mg/d).

PRN: Ketamine nasal spray, Toradol IM, Celebrex, Haloperidol, Lodine, Zofran, Phenergan, Ambien CR
rarely: Migranal, Thorazine, DHE IM, Droperidol IM, Reglan, Provigil, triptans (Imitrex, Maxalt, Relpax, Zomig, Axert, Amerge)

I can be contacted personally via email at

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