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Doctor insights on: Mild Chronic Small Vessel Ischemic Disease

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What is chronic small vessel ischemic disease and can it be treated?

What is chronic small vessel ischemic disease and can it be treated?

Misnomer: Great question. Ther is no chronic sm vessel ishchemic disease. It is invented by radiologists. It does not have treatment.

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Had an MRI that showed chronic small vessel ischemic disease -- is this a precursor to dementia?

Had an MRI that showed chronic small vessel ischemic disease -- is this a precursor to dementia?

Precursor for nothin: That's a phrase used by radiologists reading MRI's & doesn't specify any particular process. Is seen as part of the normal aging process as well as part of expected findings in people who have been diagnosed and are being treated for diabetes, high cholesterol, smokers, and those with high blood pressure. Cannot predict dementia by any means.

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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.

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MRI result: "Mild presumed chronic small vessel ischemic changes in the supratentorial white matter." Should I be concerned?

MRI result: "Mild presumed chronic small vessel ischemic changes in the supratentorial white matter." Should I be concerned?

Atherosclerosis: No. This is normal aging of the brain. However going forward, make sure that there is good blood pressure control, maintain normal cholesterol and blood sugar levels, and avoid smoking. These steps will slow the progression of atherosclerosis in the brain.

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I had a CT scan of my brain. The results read I had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have? It started with a headache on my right temple for the last 6 months, doctor sent me to physical theapy, but did

I had a CT scan of my brain. The results read I had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have? It started with a headache on my right temple for the last 6 months, doctor sent me to physical theapy, but did

Small strokes: A small lacunar infarct refers to a stroke from occlusion of a small blood vessel. Small vessel ischemic disease refers to a chronic process whereby the small blood vessels become smaller and smaller over time and cause tiny strokes in certain brain tissues. Typical risk factors are chronic hypertension, smoking and diabetes mellitus. These small strokes can be significant when they accumulate.

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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?

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.

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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.

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Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. Is this serious?

Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. Is this serious?

NONSPECIFIC: Although the films were read as suggesting ischemia, location might also suggest prior head trauma, congenital lesions of no consequence, genetic or hereditary issues, even underlying inflammatory condition. This is only "serious", if clinically you are having stroke symptoms or you possess uncontrolled blood pressure or elevation of blood lipids. Likely quite non-diagnostic.

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Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. What does this mean?

Subcortical ischemia: This translates to changes in the smaller blood vessels that lead to loss of blood flow to the area and then scarring. Somewhat like a small silent stroke and frequently seen in people with migraines. The opinions about this have swayed from very worried, to common and mundane and more recently back to looking to stop the damage (help the blood flow, oxygen and glucose status optimize).

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My brain MRI states "minimal, early deep white matter small vessel ischemic changes". I am 56. Is this indication of TIA-like events? Leukoarioses?

My brain MRI states "minimal, early deep white matter small vessel ischemic changes". I am 56. Is this indication of TIA-like events? Leukoarioses?

Nonspecific: Can indicate many different issues, such as hypertension, smoking, prior head injury, migraine, atherosclerosis. Yes, leukoariosis is the technical term, but is NOT the etiology. Doesn't sound too ominous so far, but check in with a neurologist for further directions. Could make appt with one of our Concierge docs here onsite.

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MRI Brain/IAC for hearing loss. Few scattered foci high signal in subcortical whites matter likely small vessel ischemic change. Could this be MS?

MRI Brain/IAC for hearing loss. Few scattered foci high signal in subcortical whites matter likely small vessel ischemic change. Could this be MS?

See neurologist: While matters changes on brain imaging is part of the diagnosis of MS, but can well have other causes. You did not mention any of the visual, balance, coordination symptoms that generally begin the diagnostic work up. Diagnosing from an MRI itself is it good medicine. If you have concerns on their significance, see a neurologist for an exam and correct diagnosis.

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MRI showed minimal nonspecific white matter change = diagnosis: migraines, premature vessel ischemic. Doc said take topamax (topiramate) (24yrold-F). 2nd opinion?

MRI showed minimal nonspecific white matter change = diagnosis: migraines, premature vessel ischemic. Doc said take topamax (topiramate) (24yrold-F). 2nd opinion?

Migraines: White matter lesions described may be seen with migraine, cigarette smoking, head trauma, hypertension, and aging. Would not worry about these lesions, and instead focus upon headache control measures, such as prevention with topirimate. But many other OTC and prescription items which can do as good or better a job without adverse effects from topirimate. Maybe HA specialist can serve your need

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I had an ischemic stroke last may, 5 weeks later I had a 6 vessel graft heart bypass. Is it safe to take a 16 hour flight 2 mos after my bypass?

I had an ischemic stroke last may, 5 weeks later I had a 6 vessel graft heart bypass. Is it safe to take a 16 hour flight 2 mos after my bypass?

Flight: You should consult the physicians who know you and your associated physiology and pathology for advice regarding whether you a long flight is appropriate for you in your situation.

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What are the symptoms of chronic small vessl ischemic disease?

What are the symptoms of chronic small vessl ischemic disease?

It depends: There may be no symptoms. Otherwise the symptoms depend on the area of the brain involved with the ischemia.

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The MRI show ischemic demyelination secondary to small vessel disease. What cause this and what type or treatment are?

The MRI show ischemic demyelination secondary to small vessel disease. What cause this and what type or treatment are?

My interpretation: Will answer generically, and state that you could have a disorder termed Binswanger's disease, which is most often associated with hypertension. Such MRI changes may be seen with head trauma, cigarette smoking, aging, etc.

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Is it true that chronic microvascular ischemic disease is curable?

Is it true that chronic microvascular ischemic disease is curable?

No: Not curable but can be treated by managing the underlying diseases causing missed like diabetes and hypertension and high cholesterol

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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.

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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.