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Doctor insights on: Chronic Small Vessel Ischemic Disease Of The Brain

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Dr. David Dang
Board Certified, Radiology
8 years in practice
721K people helped
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I had a CT scan of my brain..The results read i had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have? It started with a headache on my right temple for the last 6 months, doctor sent me to physical theapy, but did

I had a CT scan of my brain..The results read i had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have?  It started with a headache on my right temple for the last 6 months,  doctor sent me to physical theapy, but did

Small strokes: A small lacunar infarct refers to a stroke from occlusion of a small blood vessel. Small vessel ischemic disease refers to a chronic process whereby the small blood vessels become smaller and smaller over time and cause tiny strokes in certain brain tissues. Typical risk factors are chronic hypertension, smoking and diabetes mellitus. These small strokes can be significant when they accumulate. ...Read more

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Dr. Buck Parker
Board Certified
11 years in practice
415K people helped
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Cerebrum (Definition)

Cerebrum essentially refers to the majority of the brain. Embryologically, it develops from the telencephalon, and together with the diencephalon, ...Read more


Dr. Douglas Bourgon
Board Certified, Radiology
16 years in practice
9K people helped
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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?

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?

Yes.: White matter changes frequently seen on brain MRI are the result of chronic small vessel ischemic disaease and it is the resulting small focus of gliosis that shows on the MRI imaging. Treating your underlying cardiovascular heath is key, not the MRI finding. ...Read more

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Dr. Buck Parker
Board Certified
11 years in practice
415K people helped
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Dr. Hashmat Rajput
Board Certified, Internal Medicine
33 years in practice
874K people helped
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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?

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 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

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Dr. Buck Parker
Board Certified
11 years in practice
415K people helped
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Dr. Vitalie Lupu
Board Certified, Neurology
21 years in practice
7K people helped
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What is chronic small vessel ischemic disease and can it be treated?

What is chronic small vessel ischemic disease and can it be treated?

Misnomer: Great question. Ther is no chronic sm vessel ishchemic disease. It is invented by radiologists. It does not have treatment. ...Read more

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Dr. Dariush Saghafi
Board Certified, Neurology
27 years in practice
11M people helped
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Had an MRI that showed chronic small vessel ischemic disease -- is this a precursor to dementia?

Had an MRI that showed chronic small vessel ischemic disease -- is this a precursor to dementia?

Precursor for nothin: That's a phrase used by radiologists reading MRI's & doesn't specify any particular process. Is seen as part of the normal aging process as well as part of expected findings in people who have been diagnosed and are being treated for diabetes, high cholesterol, smokers, and those with high blood pressure. Cannot predict dementia by any means. ...Read more

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Dr. Adam Lewis
Board Certified, Neurosurgery
29 years in practice
2M people helped
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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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Dr. Joseph Accurso
Board Certified, Radiology
23 years in practice
1M people helped
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38y f. Brain MRI shows left maxillary polyp, partial empty sella, small chronic ischaemic lesions in subcorticle frontoparietal white matter. Cure?

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

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Dr. Larry Armstrong
Board Certified, Neurosurgery
21 years in practice
1M people helped
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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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Dr. Richard Zimon
Board Certified, Internal Medicine
53 years in practice
2M people helped
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If MRI Findings list Mild Diffuse Small Vessel Atrophy associated w/ischemic changes but Impression says ExamWithin normal limits should I worry?

If MRI Findings list Mild Diffuse Small Vessel Atrophy associated w/ischemic changes but Impression says ExamWithin normal limits should I worry?

MRI is of WHAT: organ?????? Usually the MRI does NOT disclose ischemic changes.... I'm guessing brain?? Ask question again with more info! Dr Z ...Read more

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Dr. Buck Parker
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