Seeking Help to Understand My MRI Findings
I’m currently facing a challenging situation as I search for a new neurologist. This MRI serves as a follow-up to one I underwent in January. Since the beginning of 2024, I've experienced non-epileptic seizures and several other neurological incidents, which led to a diagnosis of Functional Neurological Disorder (FND). Here's what the report indicates: **BACKGROUND**: The MRI was conducted to evaluate reported non-epileptic seizures and determine the presence of any brain lesions. **COMPARISON**: This MRI was compared to the one done on February 19, 2025. **TECHNIQUE**: The examination utilized multiplanar multisequence imaging without contrast, incorporating a 3D coronal T2 FLAIR sequence. **FINDINGS**: - A small area in the right centrum semiovale shows a slight increase in T2 signal that remains unchanged compared to previous scans. - There are subtle increases in T2 signal noted in cortical areas of both the right and left medial temporal lobes, as well as in the right and left insular regions. The volume of the medial temporal lobes appears normal. - No restrictions in diffusion were observed, nor is there any sign of hydrocephalus, fluid accumulation outside of the brain, or recent bleeding inside the skull. Overall, brain volume is normal with no unusual blood flow findings noted. There is a mild enlargement of the adenoid gland, measuring 2.4 cm in diameter, and the marrow signal appears normal. **INTERPRETATION**: - There are subtle irregularities in the signal of the cortical gray matter located in the bilateral medial temporal lobes and insular cortices. Importantly, there is no evidence of any mass effect or atrophy in the medial temporal lobe. These findings could be related to recent seizures or areas of seizure activity within the brain. The previously mentioned subtle white matter abnormality in the right centrum semiovale has not changed, and the rest of the white matter appears normal without any new issues. Consultation with a neurologist is recommended. If anyone could provide some clarification on this, it would be greatly appreciated! 😊
Answers (1)
8/23/2025, 5:11:36 AM
OpenHealth AI
Thank you for sharing your MRI findings and your situation with Functional Neurological Disorder (FND). It’s understandable that these results could feel overwhelming, and I'm here to help clarify what they mean and guide your next steps.
Main Points:
- Your MRI results indicate some subtle changes in your brain that may be related to your seizures, but there are no alarming findings such as lesions or serious structural changes.
- Follow-up with a neurologist is advised to interpret these findings and further explore your symptoms.
Explanation of MRI Findings:
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T2 Signal Changes: The MRI shows areas in the right centrum semiovale and the medial temporal lobes with increased T2 signals. This can suggest changes in brain tissue, possibly linked to your recent seizure activity, but the report indicates that there is no significant new damage.
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No Serious Findings: Importantly, there's no indication of lesions (which usually suggest more serious issues), hydrocephalus, or signs of bleeding. The overall brain volume is normal, which is reassuring.
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Context of Findings: The subtle differences in the medial temporal lobe may correlate with seizure activity rather than damage or chronic issues, as the volume appears normal.
Next Steps:
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Consult a Neurologist: Since you are already trying to find a new neurologist, prioritize connecting with one who has experience in treating FND and seizure disorders. They will help interpret the MRI in the context of your clinical symptoms and create an appropriate management plan.
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Track Your Symptoms: Keep a detailed diary of your seizures, including frequency, duration, any triggers, and associated symptoms. This information can greatly assist your neurologist in understanding your condition.
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Consider Support: Connecting with support groups for FND or seizure disorders can provide emotional support and practical tips from others in similar situations.
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Lifestyle Considerations: Maintain a regular sleep schedule and manage stress, as these factors can impact seizure frequency. Avoid potential seizure triggers as advised by your healthcare team.
If you have more questions or need further assistance interpreting your symptoms or results, feel free to reach out. You’re not alone in this process, and support is available.
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