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Monday, September 26, 2016
Treating Mild Brain Atrophy
I am 55 and had to leave my teaching job due to mental changes. I can`t remember simple words, inappropriate word substitution, dyslexic speech, memory loss. Neurophysiological exams show I was once functioning at a very high level, now everything is borderline or severely impaired. My brain MRI shows ventricles and sulci somewhat prominent, no extra axial fluid or mass effect or restricted diffusion. No blood product has been identified either. Ther are no abnormal enhancements and minimal T2 hyperintensity in periventricular white matter. Punctate foci of T2 hyperintensity seen within subcortical as well as the frontal and parietal lobes. No evidence of traumatic brain injury. Nonspecific T2 hypersensity most commonly seen with small vessel ischemic gliotic changes. MILD ATROPHY. Family of Parkinsons. Recently developed hypothyroid, migraines. Can you offer any causes or followup procedures? Thank you
Evaluation by experienced neurologist is necessary.
Robert P Friedland, MD
Formerly, Professor of Neurology
School of Medicine
Case Western Reserve University