Abnormal Mri Findings In Benign Exertional Headaches - Page #3
 

Lab Studies:
None

Other Studies:
1. MRI Brain without contrast—No suspicious parenchymal abnormality. Scattered bilateral periventricular and subcortical white matter punctate foci of high FLAIR and T2 signal, more so than would be anticipated for a patient of this age. Non-specific in appearance and could represent areas of demyelination, trauma, infection, vasculitis, microvascular ischemia, or even sequelae of migraine headache. Addition of gadolinium may be of benefit. <br> <br>2. MRI Brain with contrast— <a href="CaseStudyImages/CS1AbnormalMRIFindin-184.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> White matter foci do not exhibit enhancement and are thought unlikely to represent currently active process.

Consultations:
Neurology consultation— Exercise-induced migraine headaches (benign exertional headaches). Lesions on MRI common in migraine headaches (referred to as “migraine freckles”); however, old traumatic brain injury cannot be ruled out.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek