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Doctor insights on: Microangiopathic Disease Of The Brain

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I had an MRI done of my brain. I was told it showed that I have mild microvascular disease of the brain. What is that and should I be concerned?

I had an MRI done of my brain. I was told it showed that I have mild microvascular disease of the brain. What is that and should I be concerned?

A very common findin: This is a common finding on MRI of us senior folks. At this point, this is not a worrisome finding, of course, depending on why the MRI was performed in the first place. ...Read more

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MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

MRI brain results  Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more

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At different times over the past 2 years on both my brain and heart MRI there has been noted "chronic microvascular disease" changes. What is this?

At different times over the past 2 years on both my brain and heart MRI there has been noted "chronic microvascular disease" changes. What is this?

Tiny artery disease: Micro vascular disease is inside matrix changes with decrease blood flow in tiny arteries effecting brain, heart and kidneys. Also known arteriosclerosis and different from large blood vessel disease[atherosclerosis]with no plaques. Causes are blood pressure, diabetes, cholesterol, uric acid, arthritis, poly cystic ovary. Effects;mini stroke, angina, heart attack and kidney failure. Treat the disease. ...Read more

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What is cerebral microvascular disease?

What is cerebral microvascular disease?

Small brain vessels: The carotids and vertebrals and branches with names are macro.The small intra cerebral vessels are micro.
If atherosclerosis deposits in small vessels that is micro vessel disease. ...Read more

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I had an MRI done an it says mild patchy white matter hyperintensity of the pons is stable likely representing microangiopathic disease mean what doe?

I had an MRI done an it says mild patchy white matter hyperintensity of the pons is stable likely representing microangiopathic disease mean what doe?

Radiology talk: The reader of the imaging is suggesting that atherosclerosis is the cause of the white matter changes. These items can be nonspecific, and might better relate to prior migraines or cigarette smoking, or even prior head injury. ...Read more

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If a person has microangiopathic ischemic changes and involutional changes in his brain, could this cause frequent headaches?

If a person has microangiopathic ischemic changes and involutional changes in his brain, could this cause frequent headaches?

No: At your age it would be more surprising if you DIDN'T have such changes. This is extremely common, and doesn't cause headaches. Someone your age who has the new onset of frequent headaches should see their doctor. There are a couple of diagnoses that should be ruled out. ...Read more

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I am 54, never smoked, no diabetes with dizziness and resting leg pain. MRI brain showed microangiopathic ischemic change and gliosis. What's this?

I am 54, never smoked, no diabetes with dizziness and resting leg pain. MRI brain showed microangiopathic ischemic change and gliosis. What's this?

Ischemic change: It means cerebral small vessel disease with scarring. High blood pressure and high cholest can contribute to lack of blood supply through small blood vessels leading to lack of sufficient oxygen. Please return to your physician for further workup and treatment or consult a physician on this site. You may be a candidate for aspirin therapy. Could there be a clot causing your leg pain? ...Read more

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MRI shows microangiopathic changes of the white matter in both hemispheres. Taking Lamictal and have follow up next week. Should I be upset bc I am!

MRI shows microangiopathic changes of the white matter in both hemispheres.  Taking Lamictal and have follow up next week. Should I be upset bc I am!

UNCLEAR QUESTION: Not understanding what you are asking so will comment on what you mentioned. At age 37, unless you possess a vasculitis or have uncontrolled hypertension or smoking, the "microangiopathic" interpretation is totally misleading. You don't say why you take Lamictal, so not sure why you might or might not be upset. Help us to help you. Tell us what you need us to help with. ...Read more

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What are gliotic changes with regards to microangiopathic disease?

What are gliotic changes with regards to microangiopathic disease?

Scarring. : It is a generic way to say there has been some microscopic scarring, either from prior damage or inflammation. ...Read more

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Can microangiopathic disease be dangerous and what can it cause?

Can microangiopathic disease be dangerous and what can it cause?

Vascular/hematologic: Depends on the source of the microangiopathy. If it is age/atherosclerosis there are progression risk reduction strategies such as blood pressure, lipid control. If you have a microangiopathic hemolysis, that requires a specialist and is an urgent matter that requires immediate evaluation and management. ...Read more

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Is gliosis caused by microangiopathic disease?

Is gliosis caused by microangiopathic disease?

Some times: Gliosis is essentially a healing response and the changes can be seen on imaging. A variety of injuries, including chronic microangiopathic dz can induce gliosis. ...Read more

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Can you tell me what is gliotic changes from microangiopathic disease?

Can you tell me what is gliotic changes from microangiopathic disease?

Brain: Gliotic changes are the formation of scar tissue which in this case would be due to small bleeds within the brain ...Read more

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What's coronary microvascular disease diagnosed with?

What's coronary microvascular disease diagnosed with?

Clinically: This is a clinical diagnosis when stress tests and angiograms reveal no significant obstructions but individuals still have anginal symptoms...In particular diabetics. ...Read more

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How is coronary microvascular disease diagnosed and treated?

How is coronary microvascular disease diagnosed and treated?

Microvascular diseas: It is difficult to explain it this limited space. Refer to the following website for simplistic explanation:
http://www.Heart.Org/heartorg/conditions/heartattack/symptomsdiagnosisofheartattack/coronary-microvascular-disease-mvd_ucm_450320_article.Jsp. ...Read more

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How do you know when you have coronary microvascular disease?

How do you know when you have coronary microvascular disease?

Cvd: Micro vascular disease is a clinical diagnosis base d on a spectrum of findings and symptoms. Unless we have biopsy proof it is hard to prove. ...Read more

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Is there a connection between microvascular disease with copd?

Is there a connection between microvascular disease with copd?

COPD Vascular Diseas: Patient with advanced copd, if due to nicotine abuse, usually the case, will have micro vascular disease, all over. It is a systemic disease. Hence forth heart attack, stroke, legs pain, angina etc. Etc. COPD patient is high risk, for micro-angiopathy. ...Read more

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Can you tell me anything about cmd (coronary microvascular disease?

Can you tell me anything about cmd (coronary microvascular disease?

Microvascular diseas: read this:

http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Coronary-Microvascular-Disease-MVD_UCM_450320_Article.jsp

Get a more detailed answer ›
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What is coronary microvascular disease? What are the symptoms of coronary microvascular disease, and is it true that it is more prominent between women?

What is coronary microvascular disease? What are the symptoms of coronary microvascular disease, and is it true that it is more prominent between women?

Small vessels : In the heart there are larger epicardial vessels that we bypass and stent , and smaller vessel dz that are too small to mechanically intervene. They both can cause pain but small vessel dz is treated with medications and risk factor modification.
And yes its more commonly diagnosedin women. ...Read more

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Hi doctors, can you tell me what is microvascular disease?

Hi doctors, can you tell me what is microvascular disease?

Microvascular disease: read this:

http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Coronary-Microvascular-Disease-MVD_UCM_450320_Article.jsp

Get a more detailed answer ›
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Can u fly with coronary microvascular disease?

Can u fly with coronary microvascular disease?

How was it diagnosed: Who made the diagnosis and how? If a doctor made the diagnosis, s/he would be in the best position to provide the advice. In general asymptomatic heart disease is not a contraindication for flying on commercial airlines. ...Read more

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Hi doctors, was just wondering what is coronary microvascular disease?

Hi doctors, was just wondering what is coronary microvascular disease?

Small vessel: The big coronary vessels divide and subdivide to form micro vessels which supply the muscles of the heart. Diseases like diabetes can cause atherosclerosis of those tiny vessels where our catheters and wires don't go and we can't balloon or stent it. Usually if you have micro vascular disease we just treat with medications which can help in dilating them. ...Read more

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Mild periventricular and subcortical abnormal T2 and FLAIR signal is nonspecific, but likely representative of chronic microvascular disease ?

Mild periventricular and subcortical abnormal T2 and FLAIR signal is
nonspecific, but likely representative of chronic microvascular disease ?

Need clarification.: Tiny white matter spots like these can be due to small vessel vascular insufficiency, as mentioned, as well as conditions like multiple sclerosis and Lyme disease. Or they can have no specific cause at all. But in a young person like yourself, a good examination and testing would be in order. ...Read more

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What does chronic microvascular disease mean?

What does chronic microvascular disease mean?

Microvascular diseas: It means the diffuse microvascularity at the distal end of the arterial tree is narrowed so that end vessel flow is impaired and unless a way can be found to open up the microvasculature chronic ischemia of the beds supplied will be present. ...Read more

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I have chronic microvascular disease, what to do?

I have chronic microvascular disease, what to do?

Depends: On etiology. It is commonly due to diabetes, in that case good control of diabetes helps. Treatment is directed towards the underlying cause of micro-vascular disease. ...Read more

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What is the difference between coronary vasomotor dysfunction and coronary microvascular disease?

What is the difference between coronary vasomotor dysfunction and coronary microvascular disease?

Apples vs oranges: Coronary Vasomotor dysfxn has to do with autoreg of blood flow to the heart. This involves sympath / parasympathetic innervation of the heart from the brain stem.
Coronary Microvascular dz specifically involves the meta-arterioles in the myocardium that regulate blood flow to a defined local area of the heart. Meta arterioles react to metabolic by-products opening or closing blood flow in that zo ...Read more

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What is treatment for coronary microvascular disease? Will one have a shorter lifespan?

What is treatment for coronary microvascular disease? Will one have a shorter lifespan?

See below: The goal of therapy is to reduce myocardial oxygen consumption: reduce heart rate, contractility and wall stress. Betablockers, calcium channel blockers, nitrates and Ranolazine are all used. Aspirin and statins are used to prevent clotting and progression of disease. Anemia should be corrected if present. No smoking. Prognosis depends on on the extent of disease and overall health of the heart. ...Read more