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23 Possible Causes for Deep White Matter Changes, Unilateral Facial Weakness

  • Pineal Gland Cyst

    Today I received my results stating I have a few like foci of increased T2 signal in the deep periventricular white matter regions.[healthcaremagic.com] These are compatible with ischemic/gliotic changes, or could represent the sequela of migraine headaches. It also states I have a small simple pineal cyst ...[healthcaremagic.com]

  • Stroke

    Early features include: loss of grey-white matter differentiation, and hypoattenuation of deep nuclei: lentiform nucleus changes seen as early as 1 hour after occlusion, visible[radiopaedia.org] […] movement 0—Normal 1—Minor facial weakness 2—Partial facial weakness 3—Complete unilateral palsy 5 Motor function (arm) 0—No drift a.[doi.org] […] horizontal movements 1—Partial gaze palsy 2—Complete gaze palsy 3 Visual fields 0—No visual field defect 1—Partial hemianopia 2—Complete hemianopia 3—Bilateral hemianopia 4 Facial[doi.org]

  • Primary Progressive Multiple Sclerosis

    Consistent with this reduction, we showed that changes in diffusion indices of tissue damage within major clinically relevant white matter (corpus callosum and corticospinal[ncbi.nlm.nih.gov] […] tract) and deep grey matter (thalamus) structures were significantly reduced during the treatment phase (P 0.02, corrected).[ncbi.nlm.nih.gov]

  • Reversible Ischemic Neurologic Deficit

    Subacute and chronic infarcts, vasogenic edema, the punctate and confluent changes of deep white matter ischemia, and dilated VR spaces are not bright.[spinwarp.ucsd.edu] […] cerebral ischemia, diffusion-weighted images are very helpful to identify any area of acute ischemia and to separate the acute infarction from old strokes and other chronic changes[spinwarp.ucsd.edu]

  • Cerebral Thrombosis

    Bilateral or widespread superficial dural sinus thrombosis with focal cortical or subcortical white matter infarction, often hemorrhagic Deep sinus thrombosis with thalamic[clinicaladvisor.com] Specific cranial nerve lesions can include vestibular neuropathy, pulsatile tinnitus, unilateral deafness, diplopia, facial weakness and obscuration of vision.[patient.info] Associated imaging abnormalities range from least to more severe as follows: Focal or unilateral superficial dural sinus thrombosis without ischemic or hemorrhagic changes[clinicaladvisor.com]

  • Herpes Zoster

    Imaging shows multiple deep-seated ischemic or demyelinating lesions in neural white matter.[journals.lww.com] Herpes zoster oticus is characterized by a painful unilateral rash of fluid-filled blisters affecting one ear and facial weakness or paralysis on the same side.[drugtopics.com] […] deficits such as hemiplegia or blindness. 1,25 Small-vessel encephalitis is more commonly seen in immunocompromised patients who present with fever, headache, mental status changes[journals.lww.com]

  • Vascular Dementia

    Several pathogenic mechanisms appear implicated in the causation the deep white matter changes of Binswanger's disease, and hypoxia-ischemia resulting from watershed injury[web.archive.org] weakness, unilateral weakness of the limbs, Babinski’s sign, sensory deficit, hemianopia, and bulbar palsy were considered focal neurological signs.[dx.doi.org] Periventricular and deep white matter changes on T 2 -weighted MRI that are excessive for age 2 … … 3. Focal changes in electroencephalographic studies 3 27 1 31.8 D.[dx.doi.org]

  • Migrainous Stroke

    MRI may demonstrate T2 hyperintensities in the white matter of the centrum semiovale, not dissimilar to small vessel deep white matter ischemic change.[radiopaedia.org] Unilateral facial motor weakness is seen in both central and peripheral nerve pathologies.[ahcmedia.com] They are typically multiple, small, punctate hypertensities in deep or periventricular white matter and often seen on T2-weighted or images.[svn.bmj.com]

  • Multi-Infarct Dementia

    Several pathogenic mechanisms appear implicated in the causation the deep white matter changes of Binswanger's disease, and hypoxia-ischemia resulting from watershed injury[web.archive.org] weakness, unilateral weakness of the limbs, Babinski’s sign, sensory deficit, hemianopia, and bulbar palsy were considered focal neurological signs.[doi.org] Periventricular and deep white matter changes on T 2 -weighted MRI that are excessive for age 2 … … 3. Focal changes in electroencephalographic studies 3 27 1 31.8 D.[doi.org]

  • Pseudobulbar Palsy

    Blahak C, Baezner H, Pantoni L et al (2009) Deep frontal and periventricular age related white matter changes but not basal ganglia and infratentorial hyperintensities are[link.springer.com] However, neither a unilateral weakness of the facial muscles nor the inability to protrude one half of the tongue are likely to cause a significant speech impairment.[csuchico.edu]

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