Top
30
Doctor insights on: Chronic Microvascular Ischemic Changes In Brain

Share
2

2
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

3

3
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

4

4
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

6

6
Microvascular chronic ischemic in brain can affect memory?

Microvascular chronic ischemic in brain can affect memory?

Sure can: We term multiple small strokes, lacunar infarcts, and these can mount up and produce "etat lacunaire", or full blown vascular dementia. Here, the job involves prevention with an appropriate stroke anti platelet, or anti-coagulant approach. ...Read more

7

7
77 year old's MRI - chronic microvascular ischemic disease & shrinking of brain. No diabetes or high BP. Hasn't smoked for 30 yrs. What's the cause?

77 year old's MRI - chronic microvascular ischemic disease & shrinking of brain. No diabetes or high BP. Hasn't smoked for 30 yrs. What's the cause?

Well that's the question: As we age the brain tends to lose fluid content. There are many seniors who do not have this issue while others do. The micro vascular ischemia is not dependent upon diabetes but small vessels that become blocked by many things including blood clots and cholesterol. Often times it doesn't affect the function of the individual. Occasionally it will. ...Read more

8

8
What is chronic periventricular white matter microvascular ischemic disease?

What is chronic periventricular white matter microvascular ischemic disease?

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

9

9
My MRI shows "MILD WHITE MATTER MICROVASCULAR ISCHEMIC CHANGES". Could this be a reason for my memory issues and word-finding issues?

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

11

11
Do symptoms with microvascular ischemic disease of brain return once they are gone?

Do symptoms with microvascular ischemic disease of brain return once they are gone?

Can return: Ischemic microvascular of the brain is usually a radiologic description of certain findings on ct or mri. These findings are typically seen in pts. With poorly controlled hypertension and/or diabetes mellitus. Symptoms can return/worsen if the underlying risk factors are not addressed. Though the imaging abnormalites rarely return to normal, treatment can prevent progression. ...Read more

12

12
Diagnose of microvascular ischemic dissease in brain. Symptoms are now gone will they possibly return?

Diagnose of microvascular ischemic dissease in brain. Symptoms are now gone will they possibly return?

Can return: Ischemic microvascular of the brain is usually a radiologic description of certain findings on ct or mri. These findings are typically seen in pts. With poorly controlled hypertension and/or diabetes mellitus. Symptoms can return/worsen if the underlying risk factors are not addressed. Though the imaging abnormalites rarely return to normal, treatment can prevent progression. ...Read more

13

13
Is ischemic microvascular brain disease related to stroke?

See comments: Are you referring to radiology reading of an MRI of brain? In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis. Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk. Spots more likely from migraine or prior injury. ...Read more

15

15
My father 70 yrs. Cabg 1999. Hypertensive and dm -good control diffuse cerebellar and cerebral atrophy & microvascular ischemic disorder - treatment?

My father 70 yrs. Cabg 1999. Hypertensive and dm -good control diffuse cerebellar and cerebral atrophy & microvascular ischemic disorder - treatment?

No cure: The changes you describe are typical ct changes of most people over age 60 with dm and htn. There's nothing that will reverse those changes. To slow progression which is as inexorable as aging, keep the BP and cholesterol under meticulous control. Control of dm is important for other reasons but may not slow the vasular changes. Of course, no smoking. Good diet and regular exercise also help. ...Read more

16

16
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

17

17
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

18

18
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

19

19
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

20

20
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

21

21
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

22

22
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

23

23
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

24

24
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

25

25
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

26

26
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

27

27
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

29

29
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