Mohamed Hamdy Ibrahim, Taha Kamel Alloush, Marwa Adel Shaaban, Mohammed Khalid Abdul Rahim, Mohammad Ahmad M. Saad

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Neurology Department, Faculty of medicine, Ain shams University, Cairo, Egypt.
Radiology Department, Misr University for Science and Technology, Cairo, Egypt.
Internal Medicine Department, Gulf Medical University, Ajman, UAE.
Radiology Department, Fayoom University, Fayoom, Egypt.
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Abstract: Objective: To study the prevalence of silent cerebral infarction in Type II diabetes mellitus. Patients and Methods: The study was a prospective on 80 patients recruited from neurology, endocrine outpatient clinics. Patients were type II diabetics as described by the American Diabetes Association, 2011 criteria. All patients underwent full metabolic profiles to diagnose diabetes mellitus and MRI brain scans to detect cerebral infarction. Results: Silent cerebral infarctions were detected in 60% of patients (48/80 patients) predominately along periventricular white matter area and subcortical areas (Basal ganglia, Thalamus). Conclusion: Asymptomatic Type II diabetes mellitus patients could have vascular cerebral changes without neurological symptoms. MRI brain scans could be recommended as routine diagnosis (if possible) for early cerebral infarct detection in type II diabetic patients.

Keywords: Prevalence, Silent Brain Infarction, Diabetes Mellitus

Cite this paper: Ibrahim, M. , Alloush, T. , Shaaban, M. , Rahim, M. and Saad, M. (2014) Silent Cerebral Infarctions in Type II Diabetes Mellitus Patients; Could Brain MRI Be a Routine Investigation?. Open Journal of Medical Imaging, 4, 112-116. doi: 10.4236/ojmi.2014.43016.

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