Recently told my doctor i had been having problems with standing up straight and when i do i keep falling backwards. I've had back problems most of my life. Last July 15 they said i had a stroke which paralyzed the entire left side of my body...except my brain..or much of my face or ability to talk. They found no specific reason on a CT scan or MRI at the time that i had one. So i never really got an explanation as to what actually happened. So recently i had another brain MRI. Said something had to be wrong. I keep losing my balance and my muscles in my legs are getting weaker and weaker <on my left side> the one that was affected from the stroke. This was the finding on the MRI. MR BRAIN WITH AND WITHOUT CONTRAST

HISTORY: Repeated syncope and falling.

COMPARISON: No prior.

TECHNIQUE: Multiple MR imaging sequences of the brain were performed without and with 20 cc of Magnevist IV contrast.

FINDINGS: No acute infarction or intracranial hemorrhage. Ventricles and sulci are appropriate for patient age. No intracranial mass, mass effect or midline shift. No abnormal enhancement postcontrast administration. A few tiny scattered foci of increased T2-FLAIR signal are seen within the subcortical white matter, minimal extent, nonspecific. Normal T2 flow voids seen at skull base. Orbits, paranasal sinuses, and tympanomastoid air cells normal appearance. No abnormal marrow signal.

IMPRESSION:

No acute intracranial findings. No MRI findings to account for patients symptoms.

There are a few tiny scattered foci of white matter change present, minimal in extent with diagnostic considerations secondary to early small vessel microischemic changes with possible additional diagnostic considerations with appropriate clinical setting of chronic migraine headaches seen as vasculitis or demyelinating disorder. Should i be worried?