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Doctor insights on: Chronic Microangiopathic Ischemic Changes

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If a person has microangiopathic ischemic changes and involutional changes in his brain, could this cause frequent headaches?

If a person has microangiopathic ischemic changes and involutional changes in his brain, could this cause frequent headaches?

No: At your age it would be more surprising if you DIDN'T have such changes. This is extremely common, and doesn't cause headaches. Someone your age who has the new onset of frequent headaches should see their doctor. There are a couple of diagnoses that should be ruled out. ...Read more

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I am 54, never smoked, no diabetes with dizziness and resting leg pain. MRI brain showed microangiopathic ischemic change and gliosis. What's this?

I am 54, never smoked, no diabetes with dizziness and resting leg pain. MRI brain showed microangiopathic ischemic change and gliosis. What's this?

Ischemic change: It means cerebral small vessel disease with scarring. High blood pressure and high cholest can contribute to lack of blood supply through small blood vessels leading to lack of sufficient oxygen. Please return to your physician for further workup and treatment or consult a physician on this site. You may be a candidate for aspirin therapy. Could there be a clot causing your leg pain? ...Read more

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When you have scotoma develop in one eye only and the patient has a pituitary adenoma, takes plaquenil, (hydroxychloroquine) and has ischemic microvascular disease, can you tell which one most likely caused the scotoma?

When you have scotoma develop in one eye only and the patient has a pituitary adenoma, takes plaquenil, (hydroxychloroquine) and has ischemic microvascular disease, can you tell which one most likely caused the scotoma?

Depends on VF defect: Plaquinil and ischmic optic nerve disease may produce similar visual field defects, however, examination should be able to differentiate the two. Pituitary field defects are quite different. A differentiation should be able to be ascertained. ...Read more

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What does chronic age related ischaemic changes to the cerebrum mean?

What does chronic age related ischaemic changes to the cerebrum mean?

Ischemica cerebrum: You have had damage to your brain blood vessels most likely caused by high blood pressure. But many other causes. ...Read more

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What is meant by diffuse chronic ischaemic changes to the brain?

What is meant by diffuse chronic ischaemic changes to the brain?

Small artery Disease: Diffuse chronic ischemic changes in the brain are often reported on MRI scans of those over 50. Diffuse: scattered through the brain. Chronic: it's been there awhile. Ischemic: not enough blood. Neuroscientists believe this is small arteries not supplying enough blood in tiny areas of brain. Some tiny brain areas stop working w/o adequate blood supply; this is seen as white dots/spots on MRI ...Read more

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What is the meaning of chronic ischemic changes in bilateral frontparietal sub cortical white matter. What is the medicne for this?

What is the meaning of chronic ischemic changes in bilateral frontparietal sub cortical white matter. What is the medicne for this?

Aspirin...: Blood supply to the mentioned areas are compromised. HTN, DM, Vasculitis, Atherosclerosis, Embolism, can be responsible. Starting with aspirin and doing WU is better. ...Read more

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What is mild chronic ischemic changes in bilateral periventricular white matter?

What is mild chronic ischemic changes in bilateral periventricular white matter?

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

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Dad, 66, is affected with "chronic ischemic changes in periventri white matter" and "disprop prominence of ventri system c/p to cortical sulci" cure?

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

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What is mild chronic ischemic changes in bilateral frontal periventricular white matter?

What is mild chronic ischemic changes in bilateral frontal periventricular white matter?

Nonspecific WM: Nonspecific periventricular white matter changes- These are normally small spots without clinical relevance. They are more common for people with high blood pressure, diabetes, head injuries or in people who smoke. They do not have a defined clinical meaning. ...Read more

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Mild genaralized atrophy and chronic white matter ischemic changes in my mom report is it serious matter please tell me?

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

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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

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

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. ...Read more

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I'm a diabetic and my MRI shows chronic microvascular ischaemic changes. What is this and what are the symptoms. I have recently have memory problems

I'm a diabetic and my MRI shows chronic microvascular ischaemic changes. What is this and what are the symptoms. I have recently have memory problems

Brain MRI right?: On brain MRI your radiology physician saw small signal abnormalities that he or she thought were related to ischemia. These are not uncommon in older patients. What would be good to know is your age and the quantity of the disease that was seen on mr.

Your ordering physician will want to put these 2 pieces of information together and talk to you about controlling risk factors to minimize brain dz. ...Read more

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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?

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?

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. ...Read more

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MRI result: "Mild presumed chronic small vessel ischemic changes in the supratentorial white matter." Should I be concerned?

MRI result: "Mild presumed chronic small vessel ischemic changes in the supratentorial white matter." Should I be concerned?

Atherosclerosis: No. This is normal aging of the brain. However going forward, make sure that there is good blood pressure control, maintain normal cholesterol and blood sugar levels, and avoid smoking. These steps will slow the progression of atherosclerosis in the brain. ...Read more

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Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?

Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?

Becoming a senior: These changes in signal in the white matter are believed to be due to small vessels losing their flow. This is a finding in older or senior citizens. It remains to be seen if they amount to anything as we age ...Read more

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What do my mri results mean; chronic microvas ischemic changes noted, frontal bone lesion & slightly abnormally shaped & low lying cerebellar tonsil.

What do my mri results mean; chronic microvas ischemic changes noted, frontal bone lesion & slightly abnormally shaped & low lying cerebellar tonsil.

Hard to say: Urs best to discuss this with a neurology doctor, who can get full history. Picture by itself is just a picture-need medical hx and exam. So far it may look that there are changes- probably due to long history of smoking or other vascular disease. ... As far as the shape of the brain parts and frontal lesion- it's impossible to tell without more info ...Read more

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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?

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?

? 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. ...Read more

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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

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

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. ...Read more

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What is micro angiopathic ischemic changes?

What is micro angiopathic ischemic changes?

MRI lingo: This is a description of white spots seen, using t2 software, within the white matter of brain in a nonspecific fashion. Although these could be non-diagnostic, they may well be associated with some atherosclerotic changes associated with aging. Smaller blood vessels are noted here, and unless you have had cerebrovascular events, it is unlikely that these represent strokes. ...Read more

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Chronis ischemic changes is that a stroke?

Chronis ischemic changes is that a stroke?

Ischemia is loss: Of blood flow, could be cardiac or vascular- see pcp with any symptoms! ...Read more

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What are changes in microvascular ischemic?

What are changes in microvascular ischemic?

Ischemia: Ischemia is a technical term for "lack of oxygen". Microvascular means the smallest of blood vessels. Think of the plumbing in your house. The microvasculature would be your shower head.
When there is a malfunction of the microvasculature either because of spasm or buildup because of cholesterol, smoking, diabetes etc. The organ with the bloodvessels (ex. Heart) will malfunction. ...Read more

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What does lateral wall ischemic changes mean?

What does lateral wall ischemic changes mean?

Not enough blood: The test is suggesting that not enough blood is getting to the lateral wall of the heart. The most common cause would be a blockage in a heart artery. This is usually confirmed with a coronary angiogram or heart catheterization. The stress tests are correct about 80% of the time. Something to discuss with your cardiologist. ...Read more

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What is chronic microvascular ischemic disease?

What is chronic microvascular ischemic disease?

Parse the words: Chronic = long-standing. Microvascular = small blood vessel. Ischemic = insufficient blood flow. Technically such a condition can affect any organ in the body but this condition gets most attention due to neurologic involvement. Certain genetic & environmental factors contribute to this condition--that is, there is more than one cause. ...Read more

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How much serious is the micro angiopathic ischemic changes. What is its effect on a female? Patient age is 37 years.

How much serious is the micro angiopathic ischemic changes. What is its effect on a female? Patient age is 37 years.

This wording would: Most typically be found on a brain imaging (such as MRI) report and describe small areas in the brain where tiny blood vessels have ruptured or clotted off causing tiny areas of stroke. Microvascular ischemic changes are usually associated with chronic problems, especially high blood pressure, high cholesterol and diabetes. Suggests risk for future stroke and need to aggressively reverse risks. ...Read more

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What are the symptoms of chronic small vessl ischemic disease?

What are the symptoms of chronic small vessl ischemic disease?

It depends: There may be no symptoms. Otherwise the symptoms depend on the area of the brain involved with the ischemia. ...Read more

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What is chronic white matter ischemic disease?

What is chronic white matter ischemic disease?

Lack of blood deep: In the brain. This condition is most commonly seen in individuals with one or all of the following:
1. Hypertension
2. Diabetes
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