Can an MRI report suggest changes caused by chronic migraine?

Question

Hello doctor,

I am a 43-year-old female with overall good health. I have been suffering from intermittent migraines (now well managed with Botox injections) and some occasional numbness in my hands and feet for years. I had a normal MRI eleven years back and just had another one based on the continued numbness and some dizziness post-COVID. My MRI report came back and my doctor still has not followed up with me so I am worried and stressed about the results. Currently, I am on Metformin for anti-aging, and Spironolactone for mild hypertension. The MRI result is as follows:

IMPRESSION:

1. No acute intracranial abnormality or pathologic enhancement identified.

2. Multiple tiny chronic infarcts in the right cerebellum.

3. New patchy paranasal sinus disease with a polypoid appearance in the maxillary sinuses.

Can you please provide some additional context on what the report means?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your concern and the MRI report. You need not worry about your MRI report, as it shows no acute lesions. Tiny small infarcts in the right cerebellum can be seen in chronic migraine or hypertensive patients. It can be single and can increase with time. I hope that your migraine and blood pressure are under control. Your cholesterol level is a little high so keep a watch on it.

My advice:

Manage your blood pressure and blood glucose levels.
Perform physical activities.
Have a healthy diet.
Live a stress-free life.
Continue taking your current medications.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

No, there is no such risk. Just keep your metabolic profile within the normal range. Regularly monitor your systolic blood pressure, blood glucose (both fasting and post-prandial), lipid profile, body mass index, and waist circumference. Currently, you are at low risk of stroke based on available data, with no suspect of multiple sclerosis.

Thank you.