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Doctor insights on: Ischemic Atrophy

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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

Atrophy (Definition)

Atrophy usually refers to the skin-as you get older or if you have had alot of sun in the past-the dermis (that is the layer below the top layer which is called the epidermis) gets thinner and the skin looks more wrinked. Muscles and fat can also get thinner -this is another form of atrophy. Even the top layer gets thinner ...Read more


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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

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Mri report-multiple old ischemic areas in the periventricular white matter bilaterally-cerebral and cerebellar atrophy. A- 72 yrs, w66kg serious? Sugge

Mri report-multiple old ischemic areas in the periventricular white matter bilaterally-cerebral and cerebellar atrophy. A- 72 yrs, w66kg serious? Sugge

Ischemic changes: Mri scans are sensitive for picking up signs of ischemia or old stroke. Sometimes, the patients may not have any symptoms. Sometimes the symptoms are subtle and the patients recover. The risks factors for these findings include high blood pressure, smoking, diabetes, alcohol use. The best treatment is to get these risk factors under control. Work with your doctor on this. ...Read more

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Mri-multiple old ischemic areas in periventricular white matter bilaterally-cerebral & cerebellar atrophy, a 72 y, w 65 kg, no ht, no sugar, serious?

Mri-multiple old ischemic areas in periventricular white matter bilaterally-cerebral & cerebellar atrophy, a 72 y, w 65 kg, no ht, no sugar, serious?

Probably not.: I find this to be a fairly common finding on mri's in your age group.. Usually a sign of microvascular changes in the blood vessels. If you are having difficulty with cognition or other neurological symptoms then a neurological consult would be in order. Otherwise focus on keeping your cardiovascular risk factors low. There are a variety of supplements that can help you achieve these goals also. ...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 (pregabalin) 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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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

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Mild cerebral and cerebellar atropy, mild ventriculomegaly and mild periventricular ischaemic white matter pallor at the age of 55?

Mild cerebral and cerebellar atropy, mild ventriculomegaly and mild periventricular ischaemic white matter pallor at the age of 55?

What's the question: The changes in the brain are abnormal, in tune with dementia, alzheimer's, vascular or another type. But you didn't formulate the question so i will stop right here. ...Read more

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What is ischemic gliosis?

What is ischemic gliosis?

Ischemic gliosis: A very general term used to describe an area in the brain that for whatever reason did not received adequate blood supply, the brain tissue dies and becomes "gliosis" or scar tissue. ...Read more

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What is ischemic demyelination?

What is ischemic demyelination?

Lack of blood flow: Causing a loss of myelin in the central nervous system. This condition is most commonly seen in the periventricular white matter in both hemispheres. There appears to be 5 major risk factors for these lesions: 1. Hypertension 2. Hyperlipidemia 3. Diabetes 4. Smoking 5. Family history of stroke please be evaluated to minimize the risk for stroke and consider antiplatelet therapy if appropriate. ...Read more