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Doctor insights on:
Moderately Severe Supratentorial Small Vesel Chronic Ischaemia
1
My cat scan showed mild intracranial atrophy and mild supratentorial small vessel white matter disease?
See your doctor: These findings need to be put into perspective with respect to the symptoms which led to the decision to order the ct scan in the first place. In some, these could be consgtrued as normal findings, though 45 years old is young for these. ...Read more
Ischemia (Definition)
Used to describe inadequate blood flow and oxygen delivery to an extremity,an organ ,or brain which ...Read more
2
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
3
81 year old mother, CT periventricular deep white matter changes and moderate small vessel iscjaemic disease. serious?
CT changes: These changes are very common for any person at this age. She needs to eat healthy, exercise regularly and have her blood pressure, cholesterol and blood sugar under good control. ...Read more
4
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
Stroke: These small micro vascular changes seen on MRI are called "lacunar infarcts", which is a result of uncontrolled blood pressure for a long time. ...Read more
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5
MRI white matter disease in bilateral cerebral hemisphere; this may be seen with moderate chronic ischaemia versus inflammation/demylination. Worried.
Worried ?: I suggest you contact your neurologist right away to explain the findings. The idea is to find out whats going on so that you don't have to worry !. You might consider consulting with one of us. Thats what we do ! www.healthtap.com/drericweisman ...Read more
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6
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. ...Read more
7
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
8
MRI Few punctate T2 and FLAIR hyperintense foci in the periventricular white matter, likely related to chronic small vessel ischemia.What it means.
These are: age-related changes, common incidental findings usually of little or no clinical significance. ...Read more
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9
My CT scan result shows - right frontal lobe subcortical white matter tiny chronic infarct- and mild cerebral atrophic changes. ?
THAT RESULT IS: Consistent with small blood vessel atherosclerotic cerebrovascular disease. Very common in patients with hypertension and or diabetes, but unusual if younger than 50-60-70's. ...Read more
10
MRI scan shows two small focal flair hot spots in either frontal lobes subcortically. Mild peri ventricular gliosis. Age related mild diffuse atrophy.
Probably not...: ...significant. A few small lesions can be seen in many patients without an underlying problem. If there is any concern, then a repeat MR in 4-6 months can be performed. Without any interval change, then you should not worry. However, atrophy at your age is more worrisome and not common, and your Doctor should examine you closely for any underlying cause. ...Read more
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11
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
12
What is mild chronic ischemic changes in bilateral frontal periventricular white matter?
Nonspecific WM: Nonspecific periventricular white matter changes- These are normally small spots without clinical relevance. They are more common for people with high blood pressure, diabetes, head injuries or in people who smoke. They do not have a defined clinical meaning. ...Read more
13
38y f. Brain MRI shows left maxillary polyp, partial empty sella, small chronic ischaemic lesions in subcorticle frontoparietal white matter. Cure?
Nothing to cure: But try to prevent further damage. Maxillary sinus polyp is nothing to worry about unless sinus symptoms, then ENT consult. Partial empty sella cannot be fixed, and nothing to worry about unless abnormal pituitary function - may need to see an endocrinologist. Ischemic lesions may be within normal limits (allowed 1 per decade of life), but need to understand cause(s) and try to prevent more. ...Read more
14
I'm only 58 and my ct scan showed multiple zones of low attenuation commonly seen in the setting of a moderate degree of chronic microvascular degener?
Head ct: cannot say in your particular case, but generally, this is a vascular problem. Lowering risks: stop cigarettes, check cholesterol and diabetes regular exercise possibly statin and / or baby aspirin anyway depending on the details it migh tnot be vascular and could be toher diseases such as early alzheimers. These are the best we have for prevention, there are some drugs to treat also. ...Read more
15
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
16
Result for my brain MRI -asymmetric decreased attenuation in the left basal ganglia, variant dilated perivascular spaces or punctate chronic lacune. ?
MRI report: This is language used in radiology to describe what they see. Ordinarily, they cannot distinguish a small stroke (lacune) from a perivascular space. A "puntate lacune" though is very small. It is probably just the side view of a blood vessel (aka perivascular). Do you smoke? Do you have high blood pressure? Do you have diabetes mellitus? Atrial fibrillation? These are stroke risk factors. ...Read more
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17
Ct scan shows mild brain atrophy & chronic white mater disease? Is this serious?
It depends.: In a young person that would be cause for concern. However, in elderly individuals these are common findings. ...Read more
18
Mri no contrast "incidental superficial left ventral pontine tegmentum tiny 3 mmt2 hyper intensity in keeping with a perivascular space"? Help please!
If correct, no prob: Perivascular spaces are often normally seen in the brain on mri. If the interpretation of your MRI is correct, a perivascular space is a normal finding. ...Read more
19
Chronic lacunar infarcts in deep gray nuclei. Are these significant in asymptomatic 72-year-old woman with controlled high blood pressure?
Probably not.: They're quite common in older people. If they're asymptomatic, it's not usually a concern, provided blood pressure, cholesterol etc. Are controlled. A baby Aspirin a day would be a bad idea though. ...Read more
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20
Help! What does having chronic inflammatory lesion with small emphysematous bullae at apical segment of left upper lobe mean?
I am not: entirely sure what they mean by chronic inflammatory lesion. You should probably ask your doctor. ...Read more
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