Question 1

can diabetes cause chronic microvascular ischemic change in brain?

Accepted Answer

Unfortunately YES: Diabetes is one of many causes of accelerated cerebral artery and arteriole constriction due to atherosclerosis.  Other causes include aging, hypertension, high lipids, elevated homocysteine, and perhaps vasculitis or arteritis.  In some cases, antiphospholipid antibody syndrome may be a culprit.  These lesions may warn of future stroke.

Question 2

is it normal for a 42 yr old female to have chronic microvascular ischemic changes of the brain & what could be the cause? history chronic muscle pn

Accepted Answer

Brain: My opinion on chronic microvascular changes...Most important is how bad. Sometimes there are a few small speckles seen in people with migraines that are definitely not worrisome. Otherwise risk factors for this are: smoking, high bp/cholesterol, diabetes, drug use, and genetics...Among other rare causes. My biggest recs would be to work on any changeable things like some of these.

Question 3

hello dr, i had a mri of my brain. it came back as slight chronic microvascular ischemic changes. what does that mean? also what does a air cell mean?

Accepted Answer

Aging changes: As we get older, arteries harden and we see small vessel changes in the brain due to aging. They simply mean the brain doesn't work as well as it did when we are young and mostly attest to our slowly diminishing function. These are microvascular ischemic changes.  You probably don't notice these changes.
Air cells are bony areas of the skull with air spaces in them- normal.

Question 4

my grandpa have chronic microvascular ischemic changes.he has deficiency in vit b12,show low o2 in the brain,have memory loss,his behavior has changed?

Accepted Answer

?vascular dementia: 1. Get the vitamin B-12 into normal range with injections.  2. He may have had small strokes which need to be prevented with medication.  3. Could have Alzheimer's.   Any of above separately or together could affect memory and behavior.   A neurologist can help.

Question 5

i was treated for a pulmonary avm that had been undetected for years. screened for brain avm & mri found chronic small vessel territory infarcts in left cerebellar hemisphere/chronic microvascular ischemic white matter changes. what is it? treatment?

Accepted Answer

Infarcts: In my experience the usual cause of these findings, which are often not symptomatic, is longstanding  hypertension of varying degree. A neurologist could evaluate and advise you further about these findings and their causes. I would strive for a blood pressure of no higher than 130/80 going forward.

Question 6

do symptoms with microvascular ischemic disease of brain return once they are gone?

Accepted Answer

Can return: Ischemic microvascular of the brain is usually a radiologic description of certain findings on ct or mri. These findings are typically seen in pts. With poorly controlled hypertension and/or diabetes mellitus. Symptoms can return/worsen if the underlying risk factors are not addressed. Though the imaging abnormalites rarely return to normal, treatment can prevent progression.

Question 7

diagnose of microvascular ischemic  dissease in brain.  symptoms are now gone will they possibly return?

Accepted Answer

Can return: Ischemic microvascular of the brain is usually a radiologic description of certain findings on ct or mri. These findings are typically seen in pts. With poorly controlled hypertension and/or diabetes mellitus. Symptoms can return/worsen if the underlying risk factors are not addressed. Though the imaging abnormalites rarely return to normal, treatment can prevent progression.

Question 8

microvascular chronic ischemic in brain can affect memory?

Accepted Answer

Sure can: We term multiple small strokes, lacunar infarcts, and these can mount up and produce "etat lacunaire", or full blown vascular dementia.  Here, the job involves prevention with an appropriate stroke anti platelet, or anti-coagulant approach.

Question 9

is ischemic microvascular brain disease related to stroke?

Accepted Answer

See comments: Are you referring to radiology reading of an MRI of brain?  In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis.  Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk.  Spots more likely from migraine or prior injury.

Question 10

77 year old's mri - chronic microvascular ischemic disease & shrinking of brain. no diabetes or high bp. hasn't smoked for 30 yrs. what's the cause?

Accepted Answer

Well that's the question: As we age the brain tends to lose fluid content. There are many seniors who do not have this issue while others do. The micro vascular ischemia is not dependent upon diabetes but small vessels that become blocked by many things including blood clots and cholesterol. Often times it doesn't affect the function of the individual.  Occasionally it will.

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Doctor answers about:

Microvascular ischemic changes in brain

A member asked:

Can diabetes cause chronic microvascular ischemic change in brain?

A member asked:

Is it normal for a 42 yr old female to have chronic microvascular ischemic changes of the brain & what could be the cause? history chronic muscle pn

A member asked:

Hello dr, i had a mri of my brain. it came back as slight chronic microvascular ischemic changes. what does that mean? also what does a air cell mean?

A member asked:

My grandpa have chronic microvascular ischemic changes.he has deficiency in vit b12,show low o2 in the brain,have memory loss,his behavior has changed?

A member asked:

I was treated for a pulmonary avm that had been undetected for years. screened for brain avm & mri found chronic small vessel territory infarcts in left cerebellar hemisphere/chronic microvascular ischemic white matter changes. what is it? treatment?

A member asked:

Do symptoms with microvascular ischemic disease of brain return once they are gone?

A member asked:

Diagnose of microvascular ischemic dissease in brain. symptoms are now gone will they possibly return?

A member asked:

Microvascular chronic ischemic in brain can affect memory?

A member asked:

Is ischemic microvascular brain disease related to stroke?

A member asked:

77 year old's mri - chronic microvascular ischemic disease & shrinking of brain. no diabetes or high bp. hasn't smoked for 30 yrs. what's the cause?

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