求助,神外手术

羊遛狼
楼主 (北美华人网)
儿子21岁,因为头晕做MRI发现有问题,求bless求推荐医生。我们在纽约上州。这是MRI报告,请牛人看一下。跪谢 TECHNIQUE: Noncontrast MRI of the brain was performed.   Findings: There is no hydrocephalus. There is no midline shift. There is no diffusion evidence for acute infarction. There is no extra-axialfluid collection. There is no cerebral edema.   There is an ovoid 1 cm lesion within the right periatrial white matter which is hyperintense on T2 and FLAIR sequences and hypointense on T1 sequence. There is a focus of susceptibility artifact within this lesion. This may represent sequela of a lacunar infarction or may represent a cavernoma. Follow-up MRI with intravenous contrast in 12 weeks is recommended   No foci of signal abnormality are noted elsewhere within the supratentorial or infratentorial brain parenchyma. There is no evidence for intraparenchymal hemorrhage elsewhere.   Pituitary gland is not enlarged. There is no mass effect on the optic chiasm.   Major vessel flow voids are preserved at the skull base. Cerebellar tonsils are normal in location.   There are small mucous retention cyst within the right maxillary sinus.  
开心果妈妈
不懂,赶紧约保险network neurologist 吧。这么年轻就有高密度脑白质和 lesion. 感觉是不是那个lesion有问题,现在neurologist 不好约多打几个电话都约上哪个office先排上就取消其他的预约.
百磅大米
next step either MRI with contrast and/or cerebral angiogram done by neurosurgeon, goal to confirm the diagnosis, then decide next step.
MRI with contrast should be able to order by your PCP. once resulted, call neurosurgeon to review the image, then decide whether cerebral angiogram is necessary.
not expert here, just happened to know little bit.