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Doctor insights on: Icd 9 Code For Microvascular Ischemic Change

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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

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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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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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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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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

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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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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

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Hi doctors, can you tell me what is microvascular ischemic? I just had an MRI and this was my finding?

Hi doctors, can you tell me what is microvascular ischemic? I just had an MRI and this was my finding?

Problems: Microvascular ischemia means the small blood vessels are having a hard time to get blood. There are some characteristic changes for this on imaging. This is abnormal of someone of your age. Could be related to diabetes. hypertension, or advanced arteriosclerosis for someone of your age. If this is a head MRI you need to see a neurologist. ...Read more

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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

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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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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

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My MRI report says I have chronic microvascular ischemic disease with scattered lacunar infarcts. Could you explain what this means, please?

My MRI report says I have chronic microvascular ischemic disease with scattered lacunar infarcts. Could you explain what this means, please?

WMC: White matter changes in MRI is non-specific, but mostly is due to insufficiency of very small vessels in brain of people with high blood pressure or diabetes.
Small strokes causes lacunar infarcts.
Please discuss it with pcp. ...Read more

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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

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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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Last stage. Copd. Pluse langerhans cell histiocytosis with lungs. Also microvascular ischemic disease. What should I expect its my husband?

Last stage. Copd. Pluse langerhans cell histiocytosis with lungs. Also microvascular ischemic disease. What should I expect its my husband?

End stage COPD: Your husband, unfortunately, has both severe lung disease and a bad heart. His exercise capacity must be very low. You did not mention hospice care, but his long-term prognosis is not good. ...Read more

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What is chronic microvascular ischemic disease, chronic migraine, and a disseminating process such as multiple sclerosis mean on MRI? Do I have MS?

What is chronic microvascular ischemic disease, chronic migraine, and a disseminating process such as multiple sclerosis mean on MRI? Do I have MS?

You're the patient..: ...not the MRI. Presumably you didn't just wander into an MRI facility & make an impulse purchase. The MRI was ordered by your doctor & for a reason. The radiologist isn't paid to diagnose YOU; (s)he just looks at studies & reports what (s)he sees. Go back to the ordering MD; diagnosing YOU is his/her job. Ask to see the MRI: in radiology, 1 picture is worth 1000 words. ...Read more

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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

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Should I be worried? Findings on CT scan w/o contrast: tiny t2/flair prolongation and no right insula. May represent small focus of microvascular ischemic disease. What does this mean?

Should I be worried? Findings on CT scan w/o contrast: tiny t2/flair prolongation and no right insula. May represent small focus of microvascular ischemic disease. What does this mean?

I: I think many of the doctors who write in answers to avvo. Com could interpret the meaning. However, I really believe that the medically correct thing is for your doctor and you to discuss it. The doctor can provide you with information in the context with your symptoms and past history. Additionally, your medical provider is the person who should be educating you about your specific health issues. Internet doctors are really only supposed to provide general medical information. ...Read more

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When you have scotoma develop in one eye only and the patient has a pituitary adenoma, takes plaquenil, (hydroxychloroquine) and has ischemic microvascular disease, can you tell which one most likely caused the scotoma?

When you have scotoma develop in one eye only and the patient has a pituitary adenoma, takes plaquenil, (hydroxychloroquine) and has ischemic microvascular disease, can you tell which one most likely caused the scotoma?

Depends on VF defect: Plaquinil and ischmic optic nerve disease may produce similar visual field defects, however, examination should be able to differentiate the two. Pituitary field defects are quite different. A differentiation should be able to be ascertained. ...Read more

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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