How would you work up focal periventricular leukomalacia presenting in adulthood?
Answer from: at Community Practice
This depends on the location, appearance, size, and PMH of the patient. However, I usually start with giving contrast (aware it is encephalomalacia) and as known, most won't enhance. What is the age of this adult patient? Is there any previous history to suggest MS? If ischemic, why did it happen? D...
Comments
at OSF HealthCare Thank you for the comment. This female (late 30s) ...
at Orlando Health Does she have any symptoms concerning for seizures...
at OSF HealthCare There is no seizure concern. The only symptom that...
at Orlando Health I would still do EEG to correlate the tremor. If t...
at Ideal Neurology Clinic As for the lesion, if it was enough of a concern t...
at Boulder Medical Center With bands and periventricular location, I would d...
at UPMC Does more than 5 unmatched bands meet the criteria...
Thank you for the comment. This female (late 30s) ...
Does she have any symptoms concerning for seizures...
There is no seizure concern. The only symptom that...
I would still do EEG to correlate the tremor. If t...
As for the lesion, if it was enough of a concern t...
With bands and periventricular location, I would d...
Does more than 5 unmatched bands meet the criteria...