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

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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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Cerebrum (Definition)

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


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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. Cindy Juster
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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. Cindy Juster
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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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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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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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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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Brain scan says possible minor ischemic disease?

Brain scan says possible minor ischemic disease?

Maybe, maybe not: I assume the scan was a mri. I also assume you have had no symptoms of a stroke. This is not uncommon. You should have the MRI abnormality investigated, but the causes may include migraine, hypertension, and demyelination from any number of causes. The abnormality is likely a warning sign of an underlying process that needs to be addressed. Have your physician refer you for evaluation. ...Read more

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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

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