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Doctor insights on: Chronic Microvascular White Matter Ischemic Changes

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Dr. Mohammed Parvez
Board Certified, Internal Medicine
9 years in practice
3M people helped
1

1
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?

Dr. Mohammed Parvez
Board Certified, Internal Medicine
9 years in practice
3M people helped
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?

Stroke: These small micro vascular changes seen on MRI are called "lacunar infarcts", which is a result of uncontrolled blood pressure for a long time. ...Read more

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Dr. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Mijail Serruya
Board Certified, Neurology
11 years in practice
40K people helped
2

2
What is chronic periventricular white matter microvascular ischemic disease?

Dr. Mijail Serruya
Board Certified, Neurology
11 years in practice
40K people helped
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

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Dr. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Dean Giannone
Board Certified, Internal Medicine
20 years in practice
11M people helped
3

3
My MRI shows "MILD WHITE MATTER MICROVASCULAR ISCHEMIC CHANGES". Could this be a reason for my memory issues and word-finding issues?

Dr. Dean Giannone
Board Certified, Internal Medicine
20 years in practice
11M people helped
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

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Dr. Frank Mayo
Board Certified, Pulmonary Critical Care
43 years in practice
633K people helped
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4
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?

Dr. Frank Mayo
Board Certified, Pulmonary Critical Care
43 years in practice
633K people helped
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?

No: The study shows age and vascular change in white matter . This is usually a specific findind and is noy consistent with ms or autoimmine disease. ...Read more

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Dr. Aaron Milstone
Board Certified
22 years in practice
1M people helped
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Dr. Alon Seifan
Board Certified, Neurology
8 years in practice
628K people helped
5

5
Mild genaralized atrophy and chronic white matter ischemic changes in my mom report is it serious matter please tell me?

Dr. Alon Seifan
Board Certified, Neurology
8 years in practice
628K people helped
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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Dr. Paul Velt
Board Certified, Diagnostic Radiology
37 years in practice
776K people helped
6

6
Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?

Dr. Paul Velt
Board Certified, Diagnostic Radiology
37 years in practice
776K people helped
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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Dr. Bennett Machanic
Board Certified, Neurology
47 years in practice
50M people helped
7

7
What is mild chronic ischemic changes in bilateral periventricular white matter?

Dr. Bennett Machanic
Board Certified, Neurology
47 years in practice
50M people helped
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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Dr. Ajay Acharya
Board Certified, Internal Medicine
32 years in practice
10M people helped
8

8
What is the meaning of chronic ischemic changes in bilateral frontparietal sub cortical white matter.what is the medicne for this?

Dr. Ajay Acharya
Board Certified, Internal Medicine
32 years in practice
10M people helped
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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Dr. James Goodrich
Board Certified, Neurosurgery
36 years in practice
1M people helped
9

9
Dad, 66, is affected with "chronic ischemic changes in periventri white matter" and "disprop prominence of ventri system c/p to cortical sulci" cure?

Dr. James Goodrich
Board Certified, Neurosurgery
36 years in practice
1M people helped
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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Dr. Olav Jaren
Board Certified, Neurology
14 years in practice
2M people helped
10

10
What is mild chronic ischemic changes in bilateral frontal periventricular white matter?

Dr. Olav Jaren
Board Certified, Neurology
14 years in practice
2M people helped
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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Dr. Aaron Milstone
Board Certified,
22 years in practice
1M people helped
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