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Doctor insights on: Periventricular Small Vessel Ischemic Disease

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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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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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What is chronic periventricular white matter microvascular ischemic disease?

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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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. ...Read more

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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. ...Read more

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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). ...Read more

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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. ...Read more

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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. ...Read more

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Can small vessel ischaemic change in the brain cause pins and needles? I am a 46 year old female and a MRI showed that I have several T2/FLAIR hyperintensities in the deep white matter of the centrum semiovale and corona radiata.

Can small vessel ischaemic change in the brain cause pins and needles? I am a 46 year old female and a MRI showed that I have several T2/FLAIR hyperintensities in the deep white matter of the centrum semiovale and corona radiata.

Possible: Tingling is also called paresthesias. These symptoms can arise from various areas in the brain, spinal cord, nerve roots or peripheral nerves. Your neurologist should perform tests to try and localize your symptoms to the neuroanatomical location. If no better explanation exists, it is certainly possible that white matter T2 hyperintensities in the corona radiata and centrum semiovale are causal. ...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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"a small region of hypodensity is noted in white matter of superior to right para ventricular that can suggest focal ischemic area" iCT of brain. Mean?

"a small region of hypodensity is noted in white matter of superior to right para ventricular that can suggest focal ischemic area" iCT of brain. Mean?

Cerebral ischemia: Focal ischemia indicates a specific region in the brain that has not gotten sufficient oxygen. It can be due to uncontrolled hypertension, trauma, stroke, atherosclerosis, etc. MRI is better than CT for imaging the brain. If you have concerning neurological symptoms, see a neurologist for further evaluation. Http://sullydog. Com/sullysites/qm/brainischemia101syllabus/syllabus/presentation1_9_1.html ...Read more

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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 ...Read more

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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. ...Read more

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

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

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

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If an MRI shows infarcts as well as periventricular ischemic changes does this mean a person has had an actual stroke rather than just a tia?

Yes: Tias do not show up on mris because the decreased blood flow (ischemia) is not severe enough and doesn't last long enough to cause a stroke (infarct). ...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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Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?

Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?

Becoming a senior: These changes in signal in the white matter are believed to be due to small vessels losing their flow. This is a finding in older or senior citizens. It remains to be seen if they amount to anything as we age ...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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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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I recently had a CT scan of the brain and I want to know what do these findings actually mean? The findings are as follows: focus of decreased density in the sub-cortical white matter of the left frontal lobe, per-ventricular ischemic change. No mass or m

Your: Your ct findings are suggestive of cerebrovascular disease, which is usually caused by atherosclerosis (hardening of the arteries). Smokers and people with uncontrolled hypertension or high cholesterol are commonly affected by cerebrovascular disease. The areas around your brain's ventricles (these are simply hollow chambers within your brain) are particularly susceptible to the reduced blood flow caused by this condition -- hence the "peri-ventricular ischemic change." the area of decreased density in your left frontal lobe could be due to a "lacunar infarct" (i.e., a small stroke), which is another common complication of cerebrovascular disease.
Your doctor can help you sort through the potential causes of (and treatment for) cerebrovascular disease. If you're a smoker, quitting would be of great benefit to your brain.
I hope things go well for you! ...Read more

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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. ...Read more