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Doctor insights on: Ischemic White Matter Disease

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Dr. Ilene Ruhoy
Board Certified, Neurology
16 years in practice
11K people helped
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Dr. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Frank Mayo
Board Certified, Pulmonary Critical Care
43 years in practice
633K people helped
2

2
I had a cat scan, showed chronic microvascular ischemic white matter disease. My doctor who ordered the CT looked at it and did not comment. Is MS or other auto immune system possible?

Dr. Frank Mayo
Board Certified, Pulmonary Critical Care
43 years in practice
633K people helped
I had a cat scan, showed chronic microvascular ischemic white matter disease. My doctor who ordered the CT looked at it and  did not comment. Is MS or other auto immune system possible?

No: The study shows age and vascular change in white matter . This is usually a specific findind and is noy consistent with ms or autoimmine disease. ...Read more

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Dr. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Donald McCarren
Board Certified, Neurology
31 years in practice
814K people helped
3

3
What is chronic white matter ischemic disease?

Dr. Donald McCarren
Board Certified, Neurology
31 years in practice
814K people helped
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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Dr. Hashmat Rajput
Board Certified, Internal Medicine
34 years in practice
875K people helped
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4
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?

Dr. Hashmat Rajput
Board Certified, Internal Medicine
34 years in practice
875K people helped
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. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Mijail Serruya
Board Certified, Neurology
11 years in practice
40K people helped
5

5
What is chronic periventricular white matter microvascular ischemic disease?

Dr. Mijail Serruya
Board Certified, Neurology
11 years in practice
40K people helped
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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Dr. Douglas Bourgon
Board Certified, Radiology
17 years in practice
22K people helped
6

6
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?

Dr. Douglas Bourgon
Board Certified, Radiology
17 years in practice
22K people helped
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. Parul Krishnamurthy
Board Certified, Obstetrics and Gynecology
29 years in practice
1M people helped
7

7
Mom is 79 brain CT scan: moderate cerebral volume loss, mild widening of the cortical sulci, mild white matter microvasc. Ischemic disease serious?

Dr. Parul Krishnamurthy
Board Certified, Obstetrics and Gynecology
29 years in practice
1M people helped
Mom is 79  brain CT scan: moderate cerebral volume loss, mild widening of the cortical sulci,  mild white matter microvasc. Ischemic disease  serious?

Depends: Most likely these are aging changes that have occurred with time. ...Read more

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Dr. Ajay Acharya
Board Certified, Internal Medicine
32 years in practice
10M people helped
8

8
What is the meaning of chronic ischemic changes in bilateral frontparietal sub cortical white matter.what is the medicne for this?

Dr. Ajay Acharya
Board Certified, Internal Medicine
32 years in practice
10M people helped
What  is the meaning of  chronic ischemic changes in bilateral frontparietal sub cortical white matter.what is the medicne for this?

Aspirin...: Blood supply to the mentioned areas are compromised. HTN, DM, Vasculitis, Atherosclerosis, Embolism,can be responsible. Starting with aspirin and doing WU is better. ...Read more

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Dr. James Goodrich
Board Certified, Neurosurgery
36 years in practice
1M people helped
9

9
Dad, 66, is affected with "chronic ischemic changes in periventri white matter" and "disprop prominence of ventri system c/p to cortical sulci" cure?

Dr. James Goodrich
Board Certified, Neurosurgery
36 years in practice
1M people helped
Dad, 66, is affected with "chronic ischemic changes in periventri white matter" and "disprop prominence of ventri system c/p to cortical sulci" cure?

Chronic ischemia: What you are seeing on the mr are common aging changes seen on mr. As for a "cure" being available, not at the moment and likely years before any solution. ...Read more

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Dr. Bennett Machanic
Board Certified, Neurology
47 years in practice
50M people helped
10

10
What is mild chronic ischemic changes in bilateral periventricular white matter?

Dr. Bennett Machanic
Board Certified, Neurology
47 years in practice
50M people helped
What is mild chronic ischemic changes in bilateral periventricular white matter?

Described often: Presume on mri, white matter lesions as noted, which are usually nonspecific, but can be associated with hypertension, diabetes, or high blood fats causing "hardening of the arteries" (aka, microvascular angiopathy). This pattern might be consistent with ms in some cases, so needs correlation for relevance. Not a description of stroke, but an indication for prevention of future stroke. ...Read more

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Dr. Vicken Poochikian
Board Certified,
37 years in practice
2M people helped
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