MRI Options for Neurological Symptoms: What You Need to Know - Neurology

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Hello, doctor.
Due to insufficient sleep (I have undergone surgery for sleep apnea), I am experiencing symptoms such as pressure and hardness in the upper part of my eyeballs, mental confusion, fatigue, and excessive sleepiness on a daily basis.
I have already paid out of pocket for an MRI, and the neurologist has ordered a brain MRI.
However, when I inquired about scheduling with the imaging center, they informed me that there are many types of MRIs, and a brain MRI might not reveal other issues! My question is whether I should opt for a comprehensive MRI that includes the head, neck, and brain, or stick with the neurologist's recommendation for a brain MRI (even though the imaging center mentioned it would only show the brain).
The referring doctor does not believe there are any growths in the brain, which is why I have to pay out of pocket.
Thank you.

Niming, 40~49 year old female. Ask Date: 2015/12/15

Dr. Gao Chunde reply Neurology


When examining the brain for abnormalities, MRI can already reveal a lot of information.
Changes in large blood vessels and small arteries due to ischemia can mostly be observed.
However, no single examination can visualize everything with 100% accuracy.
Ultimately, whether to focus on structural imaging or metabolic/function assessment is a more nuanced decision that should be left to the physician who is evaluating you.

Reply Date: 2015/12/15

More Info


When it comes to understanding MRI options for neurological symptoms, it's essential to clarify the purpose of the MRI and the specific symptoms you are experiencing. Based on your description, you are dealing with a range of symptoms, including fatigue, sleep disturbances, and discomfort in your eyes and head. These symptoms can stem from various underlying issues, and an MRI can be a valuable tool in diagnosing potential problems.

Firstly, it's important to understand that there are different types of MRI scans, each designed to visualize specific areas of the body or brain. A standard brain MRI focuses on the brain itself, while other types of MRI scans may include the cervical spine (neck) or other regions. If your neurologist has ordered a brain MRI, it is likely because they want to rule out any structural abnormalities within the brain, such as tumors, lesions, or other pathological changes.

The confusion you encountered at the imaging center regarding the capabilities of a brain MRI is not uncommon. While a brain MRI primarily focuses on the brain, it can also provide some information about adjacent structures, such as the cranial nerves and parts of the cervical spine. However, if there are specific concerns about the neck or other areas, additional imaging may be warranted.

Given your symptoms, it may be beneficial to discuss with your neurologist whether a more comprehensive imaging approach is necessary. For example, if there is a concern about vascular issues or if your symptoms could be related to cervical spine problems, a cervical spine MRI might be appropriate. This type of MRI can help identify issues such as herniated discs or spinal stenosis that could be contributing to your symptoms.

In terms of your specific situation, if your neurologist does not believe there is a significant concern regarding the brain, they may have a valid reason for suggesting that a brain MRI is not urgently needed. However, if you feel that your symptoms are severe or worsening, it is essential to communicate this to your healthcare provider. They may consider ordering additional tests or referring you to a specialist, such as a headache specialist or a sleep medicine expert, to further evaluate your symptoms.

Moreover, if you decide to pursue a general health check-up MRI, it is crucial to ensure that the imaging center is equipped to perform the type of MRI that aligns with your symptoms and concerns. You might want to ask the imaging center about their capabilities and whether they can perform a more comprehensive scan that includes both the brain and cervical spine.

Lastly, regarding the transfer of your MRI images to another facility, it is generally advisable to request copies of your MRI images and reports from the original imaging center. This way, you can provide them to any new healthcare provider you consult, ensuring they have all the necessary information to make informed decisions about your care.

In summary, understanding your MRI options involves clear communication with your healthcare provider about your symptoms and concerns. It is essential to ensure that the imaging performed aligns with your specific needs and that you have access to your medical records for continuity of care. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for clarification and guidance.

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