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Doctor insights on: Chronic Microvascular Ischemic Change

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Dr. Adam Smith
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Dr. Adam Smith
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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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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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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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Dr. Adam Smith
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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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Is there a correlation between chronic microvascular ischemic disease and anemia?

Is there a correlation between chronic microvascular ischemic disease and anemia?

Only in the sense: That a patient with severe small vessel disease may be chronically ill. I would not directly relate the anemia without sorting out potentially reversible causes. ...Read more

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Dr. Adam Smith
Board Certified, Internal Medicine
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