Doctor insights on:
Chronic Ischemic White Matter Disease
I also had a CT scan of the brain which showed I had chronic ischemic white matter disease. I am only 43! . Is this too age related? Thank you, Patty
White matter is one of the two components of the central nervous system and consists of glial cells and myelinated axons that transmit signals from one region of the cerebrum to another and between the cerebrum and lower brain centers. White matter tissue of the freshly cut brain appears pinkish white to the naked eye because myelin is composed largely of lipid ...Read more
I had a cat scan, showed chronic microvascular ischemic white matter disease. My doctor who ordered the CT looked at it and did not comment. Is MS or other auto immune system possible?
Lack of blood deep:
In the brain. This condition is most commonly seen in individuals with one or all of the following:
3. Hyperlipidemia (high cholesterol)
4. Cigarette smoking
5. Family history of stroke
of course there are others but these are most important. Please meet with your neurologist to discuss why and what you can do to help your situation. Good luck and well wishes. ...Read more
Patchy insulation: Chronic means this process has been going on for years in the brain. White matter is the part of the brain where the "communication cables" are, and they are "white" because of myelin insulation. The ventricles are fluid-filled "shock absorber" spaces inside the brain. Ischemic means they have been deprived oxygen, microvascular means in tiny blood vessels. Mini-stroke strips off some insulation. ...Read more
Can ischemic small vessel disease cause gliosis? How would ischemic small vessel disease be treated in a minimal area of white matter in the brain?
I recently had an MRI of the brain. The results where as follows mild atrophy and mild periventricular white matter ischemic small vessel disease. Wh?
Arteriosclerosis: You are taking hydrocodone, tramadol & Lyrica (pregabalin) for nagging pain plus Ambien for sleep and Buspirone for anxiety. Combination is heavy stuff. Had migraine but not any more? Microvascular disease is the blockage of tiny vessels-arteriosclerosis. These can happen in heart & kidney as well. Check your lipid profile and possible use of statin. For headache & reevaluation of all your meds see neurologist. ...Read more
Mom is 79 brain CT scan: moderate cerebral volume loss, mild widening of the cortical sulci, mild white matter microvasc. Ischemic disease serious?
Depends: Most likely these are aging changes that have occurred with time. ...Read more
What is the meaning of chronic ischemic changes in bilateral frontparietal sub cortical white matter. What is the medicne for this?
Described often: Presume on mri, white matter lesions as noted, which are usually nonspecific, but can be associated with hypertension, diabetes, or high blood fats causing "hardening of the arteries" (aka, microvascular angiopathy). This pattern might be consistent with ms in some cases, so needs correlation for relevance. Not a description of stroke, but an indication for prevention of future stroke. ...Read more
Dad, 66, is affected with "chronic ischemic changes in periventri white matter" and "disprop prominence of ventri system c/p to cortical sulci" cure?
Chronic ischemia: What you are seeing on the mr are common aging changes seen on mr. As for a "cure" being available, not at the moment and likely years before any solution. ...Read more
Mild genaralized atrophy and chronic white matter ischemic changes in my mom report is it serious matter please tell me?
Maybe: Mild general atrophy can be seen on ct scans of people with or without symptoms. Chronic white matter ischemic changes can also be seen in symptomatic or asymptomatic people. Be sure your mom gets checked for obstructive sleep apnea, diabetes, hypertension and high cholesterol. These can cause ischemic changes. ...Read more
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
MRI result: "Mild presumed chronic small vessel ischemic changes in the supratentorial white matter." Should I be concerned?
Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?
38y f. Brain MRI shows left maxillary polyp, partial empty sella, small chronic ischaemic lesions in subcorticle frontoparietal white matter. Cure?
Nothing to cure:
But try to prevent further damage.
Maxillary sinus polyp is nothing to worry about unless sinus symptoms, then ENT consult.
Partial empty sella cannot be fixed, and nothing to worry about unless abnormal pituitary function - may need to see an endocrinologist.
Ischemic lesions may be within normal limits (allowed 1 per decade of life), but need to understand cause (s) and try to prevent more. ...Read more
Mri report says morphology says in favour of smallt2 and flair hyperintensefoci in bilateral frontal white matter-? Ischemic/? Significant
Usually not: This is a very common finding on mris of the brain. Typically it is not significant. However, if you are experiencing neurological symptoms these foci may represent something more sinister and you should see your doctor. ...Read more
My MRI shows "MILD WHITE MATTER MICROVASCULAR ISCHEMIC CHANGES". Could this be a reason for my memory issues and word-finding issues?
Vascular dementia.: The second most common form of dementia (after Alzheimer's) is vascular dementia, also known as multi-infarct dementia. An accumulation of tiny infarcts, much like those imaged on your MRI, leads to symptoms of dementia. We tend to see this form of dementia in people with hypertension, diabetes, high cholesterol. So this could be related to your symptoms. Ask your doctor if u can take aspirin. ...Read more
Why did you get it?: If the radiologist knew your age and still read the report in that way I think that is a little bit unusual. But, it kind of depends on the reason you had the MRI done in the first place. Typically, that type of a read would be more common for someone who had long-standing hypertension, diabetes, high cholesterol, smoker for many years and so forth. Do you have a copy of the report or the films ...Read more
I have tremors on right side for 9 years; left side is normal; I have white matter ischemic changes+ lacune infarcts; no significant plaque; Dx?
See a neurologist: Focal tremors could be a sign of Parkinson's disease. You do describe prior strokes, and many lacunar infarcts can also cause tremors. The focality does concern me as I would want to rule out obstruction of carotid or vertebral artery in neck. An experienced neurologist should be able to pin down the causation ...Read more
Hi, there are few small foci of high signal in the white matter of both cerebral hemisphere non specific but likely ischemic. What does mean in MRI mr?
Review with Doctor: Usually a few small foci are of little concern, and merely mean that there is some small vessel disease, as occurs with high blood pressure, diabetes, or even with migraines. However, 26 is a pretty young age for age related changes, and should at least be viewed by your doctor. ...Read more
Possibly: At your age, deep white matter ischemic changes are not common. There are a few possibilities: either you have engaged in activities that have harmed your brain (ie- excessive alcohol intake or other toxins), or you are predisposed to small vessel disease (common in diabetics) or it is possible that a demyelinating condition like ms can cause this appearance. I would recommend seeing a neurologist. ...Read more
CT Scan today showd micro ischemic changes in white matter. What does that mean and how serious is this issue?
White matter changes: Seriousness of the "issue" depends on how severe it is. I'm sure you didn't just wander into a CT facility and made an impulse purchase. Your doctor ordered the CT for a REASON. What was it? The CT isn't the patient; you are. Test results are meaningless without a clinical context. What is it? The ordering doctor is ethically obligated to explain the result to you; or to find someone who can. ...Read more
"a small region of hypodensity is noted in white matter of superior to right para ventricular that can suggest focal ischemic area" iCT of brain. Mean?
Cerebral ischemia: Focal ischemia indicates a specific region in the brain that has not gotten sufficient oxygen. It can be due to uncontrolled hypertension, trauma, stroke, atherosclerosis, etc. MRI is better than CT for imaging the brain. If you have concerning neurological symptoms, see a neurologist for further evaluation. Http://sullydog. Com/sullysites/qm/brainischemia101syllabus/syllabus/presentation1_9_1.html ...Read more
Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. Is this serious?
NONSPECIFIC: Although the films were read as suggesting ischemia, location might also suggest prior head trauma, congenital lesions of no consequence, genetic or hereditary issues, even underlying inflammatory condition. This is only "serious", if clinically you are having stroke symptoms or you possess uncontrolled blood pressure or elevation of blood lipids. Likely quite non-diagnostic. ...Read more
Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. What does this mean?
Subcortical ischemia: This translates to changes in the smaller blood vessels that lead to loss of blood flow to the area and then scarring. Somewhat like a small silent stroke and frequently seen in people with migraines. The opinions about this have swayed from very worried, to common and mundane and more recently back to looking to stop the damage (help the blood flow, oxygen and glucose status optimize). ...Read more
Mild cerebral and cerebellar atropy, mild ventriculomegaly and mild periventricular ischaemic white matter pallor at the age of 55?
My brain MRI states "minimal, early deep white matter small vessel ischemic changes". I am 56. Is this indication of TIA-like events? Leukoarioses?
Nonspecific: Can indicate many different issues, such as hypertension, smoking, prior head injury, migraine, atherosclerosis. Yes, leukoariosis is the technical term, but is NOT the etiology. Doesn't sound too ominous so far, but check in with a neurologist for further directions. Could make appt with one of our Concierge docs here onsite. ...Read more
MRI showed minimal nonspecific white matter change = diagnosis: migraines, premature vessel ischemic. Doc said take topamax (topiramate) (24yrold-F). 2nd opinion?
Migraines: White matter lesions described may be seen with migraine, cigarette smoking, head trauma, hypertension, and aging. Would not worry about these lesions, and instead focus upon headache control measures, such as prevention with topirimate. But many other OTC and prescription items which can do as good or better a job without adverse effects from topirimate. Maybe HA specialist can serve your need ...Read more
Had 3 month long migraine so neurologist sent me for MRA. It revealed severe sinusitis plus mild ischemic white matter changes. I'm 28. What is that?
Migraine treatment: Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See an orofacial pain or headache specialist for evaluation and professional management. ...Read more
- Talk to a doctor online
- White matter microvascular ischemic disease
- Extensive white matter disease related chronic microangiopathy
- Deep white matter ischemic changes
- Periventricular white matter ischemic changes
- Chronic white matter ischemia
- Small vessel ischemic changes in the white matter
- Diseases of the white matter of the brain
- Paraventricular white matter disease
- Chronic microvascular white matter ischemic changes