A 44-year-old female 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

1 doctor answer1 doctor weighed in
Dr. John Baker
Neurology 16 years experience
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.
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Last updated Mar 9, 2020


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