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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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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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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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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

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What are volkmanns ischemic contractures?

What are volkmanns ischemic contractures?

A complication: High pressure build up in a muscular compartment (can happen as a result of crush injury, bone fracture, or from constant pressure on a limb for a prolonged period of time) can cause decreased blood flow to tissues in that compartment, resulting in compartment syndrome. Volkmann's ischemic contracture is a server case in which some of the tissue within the compartment dies and contractors develop. ...Read more

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How could I have ischemic colitis at age 28?

How could I have ischemic colitis at age 28?

Very unusual: Ischemic colitis typically affect the older population with intrinsic vascular disease and secondary factors such as tobacco use, dehydration (in sufficient intake or due to medication). It can also happen at times as a complication with certain procedures. Work with your doctor, make sure it is the proper diagnosis. ...Read more

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What is chronic white matter ischemic disease?

What is chronic white matter ischemic disease?

Lack of blood deep : In the brain. This condition is most commonly seen in individuals with one or all of the following: 1. Hypertension 2. Diabetes 3. Hyperlipidemia (high cholesterol) 4. Cigarette smoking 5. Family history of stroke of course there are others but these are most important. Please meet with your neurologist to discuss why and what you can do to help your situation. Good luck and well wishes. ...Read more

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What causes ischemic colitis and how do u treat it?

What causes ischemic colitis and how do u treat it?

Low flow: This can result when the flow of blood and nutrients to the intestines is less than what is needed. This can occur when the intestines have higher than usual needs as with infections often associated with diarhea. This can also occur when the flow is low from an arterial blockage or from dehydration or low blood pressure. Initial treatment is bowel rest, if severe surgery may be needed. ...Read more

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Is it possible to fully recover from an ischemic stroke?

Is it possible to fully recover from an ischemic stroke?

Perhaps: The brain possesses amazing coping and plasticity skills and recovery may seem full and miraculous. Folks do best with small lacunar events, in non-critical areas. Best to prevent future events. ...Read more

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Is Ischemic stroke is easy to recover for a 58 years old?

Stoke recovery: Is Ischemic stroke is easy to recover for a 58 years old? ANS: Yes and No. It depends on how dense the stroke is. That is how much of the body it affected. The more the slower the recovery usually. The Dsr caring for your stroke is an expert in YOU. Please discuss with them. ...Read more

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My dad died of an ischemic event, am I more likely to get it?

My dad died of an ischemic event, am I more likely to get it?

Yes: Your dad likely died of the medical conditions that cause ischemia - atherosclerotic cardiovascular disease and hypertensive cardiovascular disease. These diseases are passed on in families. So you have a likely chance to also have those diseases. ...Read more

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What readily contributes to the development of ischemic colitis?

What readily contributes to the development of ischemic colitis?

Low blood flow: Ischemia is due in general to inadequate circulation colitis relates to the colon large bowel large or small blood vessel obstruction, thrombosis, embolism and some spastic vascular situations may cause ischemic bowel. ...Read more

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