What does it mean if an MRI shows lesions on the brain?

Brain lesions are areas of brain tissue that show damage from injury or disease. The most common way to detect brain lesions is with diagnostic imaging scans. Depending on the cause, some types of brain lesions will heal on their own or are treatable.
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What do lesions on the brain indicate?

Brain lesions can be caused by injury, infection, exposure to certain chemicals, problems with the immune system, and more. Typically, their cause is unknown.
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What conditions cause brain lesions?

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  • Brain aneurysm.
  • Brain AVM (arteriovenous malformation)
  • Brain tumor (both cancerous and noncancerous)
  • Encephalitis (brain inflammation)
  • Epilepsy.
  • Hydrocephalus.
  • Multiple sclerosis.
  • Stroke.
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What does a lesion on the brain mean on MRI?

Brain lesions seen on MRI may indicate any number of possible conditions. Here the brain lesion depicts tissue damage from an ischemic stroke — a state of severely reduced blood flow to the brain, which deprives brain cells of vital oxygen and nutrients.
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What can be done for brain lesions?

Depending on the brain lesion type, treatment may include antibiotics, brain surgery, radiation therapy, chemotherapy, or a combination of these treatments. Other lesions have no effective treatment except for the use of medications that may reduce symptoms and impede the progression of the disease.
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MS MRI Lesions VS. "Benign" White Matter Lesions Explained by Neurologist



Should I worry about a brain lesion?

Brain lesions can happen for many reasons, making them a very common sign of a brain-related condition. Some lesions are minor and need little or no treatment to heal. Others are more severe and may need medical care, such as surgery.
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What is the most common cause of lesions in the brain?

A brain lesion is a type of abnormality in the brain, usually caused by a disease or injury.
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Can an MRI tell if a lesion is cancerous?

Using MRI, doctors can sometimes tell if a tumor is or isn't cancer. MRI can also be used to look for signs that cancer may have metastasized (spread) from where it started to another part of the body. MRI images can also help doctors plan treatment such as surgery or radiation therapy.
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Do brain lesions always mean MS?

While it is true that almost all people with MS will have evidence of brain lesions on MRI, not all people with brain lesions have MS.
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Are lesions on MRI normal?

Abnormalities in white matter, known as lesions, are most often seen as bright areas or spots on MRI scans of the brain. They can reflect normal aging; white matter deteriorates as people age.
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What is life expectancy with brain lesions?

The 5-year survival rate for people in the United States with a cancerous brain or CNS tumor is almost 36%. The 10-year survival rate is almost 31%. Age is a factor in general survival rates after a cancerous brain or CNS tumor is diagnosed. The 5-year survival rate for people younger than age 15 is about 75%.
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Are brain lesions caused by stress?

Psychological stress is linked to multiple sclerosis (MS) severity (e.g., to a heightened risk of brain lesion development).
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Can some brain lesions be harmless?

Brain lesions are areas of abnormal tissue that have been damaged due to injury or disease, which can range from being relatively harmless to life-threatening.
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Can a brain lesion go away?

Can Lesions Heal Once They Appear? “Absolutely,” says Dr. Hua. “It's not specific to MS, but in any process where there's some sort of brain injury, there will always be healing, as well.
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What percent of brain lesions are cancerous?

There are more than 120 different types of primary brain and CNS tumors. Nearly one-third (29.7 percent) of brain and central nervous system (CNS) tumors are malignant.
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Are brain lesions normal with age?

They are very common in the aging brain, with an in‐life prevalence of over 90% in the over‐65 age group, the volume of lesions increasing with age group in the over‐60s 15, 42. Although often an incidental finding, they are clinically significant.
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What are symptoms of MS brain lesions?

MS brain lesions may appear on the brainstem—the lowest part of the brain right above the spinal cord. Among the symptoms that can appear with MS brainstem lesions are blurred or double vision, trouble swallowing, slurred speech, dizziness, coordination problems, weakness, and decreased sensation.
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Can Brain Lesions be misdiagnosed?

Brain tumors are most commonly misdiagnosed because a physician failed to order further testing based on symptoms. Since the symptoms of brain tumors often mimic symptoms of other more common diseases, physicians often diagnose and prescribe treatment for another ailment.
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How many lesions is a lot for MS?

An “average” number of lesions on the initial brain MRI is between 10 and 15. However, even a few lesions are considered significant because even this small number of spots allows us to predict a diagnosis of MS and start treatment.
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How do you tell if a lesion is benign or malignant?

A benign tumor has distinct, smooth, regular borders. A malignant tumor has irregular borders and grows faster than a benign tumor. A malignant tumor can also spread to other parts of your body. A benign tumor can become quite large, but it will not invade nearby tissue or spread to other parts of your body.
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What test determines if a lesion is malignant?

Biopsy. In most cases, doctors need to do a biopsy to be certain that you have cancer. A biopsy is a procedure in which the doctor removes a sample of abnormal tissue. A pathologist looks at the tissue under a microscope and runs other tests on the cells in the sample.
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How can you tell if a lesion is malignant?

Benign lesions form in a bone and can grow locally but do not spread to other organs to cause harm. Malignant lesions, more commonly referred to as cancer, are lesions which may form and develop in the bone but have the capacity to spread to other areas of the body and continue to grow.
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Can brain lesions turn into tumors?

A brain tumor is a specific type of brain lesion. A lesion describes any area of damaged tissue. All tumors are lesions, but not all lesions are tumors. Other brain lesions can be caused by stroke, injury, encephalitis and arteriovenous malformation.
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Can you have brain lesions and not have MS?

The diagnosis of MS cannot be made solely on the basis of MRI because there are other diseases that cause lesions in the CNS that look like those caused by MS. And even people without any disease — particularly the elderly — can have spots on the brain that are similar to those seen in MS.
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What percentage of brain lesions are benign?

And an estimated 90,000 people will receive a primary brain tumor diagnosis in 2022. Here's a breakdown that may surprise many: About 71 percent of all brain tumors are benign and about 29 percent are malignant.
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