A 65-year-old male asked:
mom is 65 years old. was admitted for vertigo problem last week. mri scan says diffuse cerebral and cerebellar atrophy is noted wid bilateral chronic small vessel ischemic changes. wat does it mean ? is it really serious doctor ? need your help
2 doctor answers
Dr. Franklyn Gergits answered
28 years experience ENT and Head and Neck Surgery
MRI findings: Greetings. Rest assured that the findings you are describing is a description of a normally aging brain. The MRI gives us great detail and descriptive images of soft tissue structures like the brain. Atrophy occurs as does the plaque buildup in our blood vessels as we grow older. These findings aren't causing Mom's vertigo. See your ENT. I hope his helps. Good Luck
Answered on Apr 21, 2018
Dr. Bennett Machanic answered
51 years experience Neurology
Get clear diagnosis: First issue is to distinguish between vertigo of central vrs peripheral origin. Need to assure blood flow in vertebral/basilar vessels at base of brain. She does have a microvascular angiopathy, and could need medication to control stroke risks. Need to find out why the atrophy is so diffuse. Not clear to me that aging explains this. See neurologist. Could also try our Concierge service.
Answered on Apr 21, 2018
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Probably not: While not strictly "normal", small "bright spots" on certain types of MRI images of the aging brain are very common. These represent small scars, and ... Read More
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Ischemic changes: Mri scans are sensitive for picking up signs of ischemia or old stroke. Sometimes, the patients may not have any symptoms. Sometimes the symptoms are ... Read More
A 66-year-old female asked:
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Perhaps benign: The MRI truly needs clinical correlation, as the ischemic white matter disease is not uncommonly seen with atherosclerotic changes of aging, and the a ... Read More
A 51-year-old male asked:
Dr. Richard Zimon answered
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MRI is of WHAT: organ?????? Usually the MRI does NOT disclose ischemic changes.... I'm guessing brain??
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