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I never made another appointment after this test because my doctor said there was no need to. He said everything was fine. I just want to know if anything found on this test can explain head shaking, I originally went for unstoppable blinking that lasted for a year, ever since I quit a job I no longer have that. The head shaking I noticed happens when I am on my bed and my head is in mid hair tilted a little to the left then I feel something in my head then it shakes left to right like I am shaking my head left and right, not up and down. I also wanted to know if anything on the test could be related to child abuse? Specifically sexual child abuse. I read that it can affect the brain.
Study Result
Impression
No acute infarct, hemorrhage, or mass effect is documented. Minimal foci of abnormal high T2 FLAIR signal in the white matter. Differential is broad and ranges from sequela of microvascular ischemic disease to chronic migraine headaches or even
demyelinating condition. Follow-up to document stability is recommended. For follow-up examination consider the use of gadolinium for more comprehensive assessment. The Results Reporting Office (F1) will complete appropriate follow-up actions based on
defined processes. F1
Moderator cut: personal 6/6/2016 8:37 AM
Narrative
EXAM: AHP MRI BRAIN W/O IV CONTRAST
CLINICAL INDICATION: R25.3 (Fasciculation) I and facial twitching.
TECHNIQUE: Multiplanar multisequence MR imaging of the brain was performed without intravenous contrast using standard MR protocol.
COMPARISON: No comparison studies are available at this time.
FINDINGS: There is no diffusion restriction to suggest acute infarct. Minimal artifact is seen along the margins of the frontal sinuses as is common due to nonmagnetic susceptibility. Reference for example series 4 image 14. Corresponding artifact is
seen on the T2 star weighted imaging at the same locations.
There is no hydrocephalus. There is no mass effect or midline shift. Basal cisterns remain patent. Sella is not well assessed by this technique but suprasellar cistern is clear.
T2 FLAIR imaging shows tiny foci of increased T2 FLAIR signal white matter for example in the subcortical white matter of the frontal lobe on series 6 image 18 and bilateral and series 6 image 13. no extra-axial collection or parenchymal hemorrhage is
demonstrated.
This is not an angiographic assessment but anterior and posterior circulation vascular flow voids are maintained. There is paranasal sinus mucoperiosteal thickening. This is minimal greatest in the right ethmoid sinuses. Mastoids are normal in signal.
Orbits are unremarkable on T2 weighted imaging
Last edited by in_newengland; 12-29-2017 at 08:32 PM..
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