Doctor insights on:
Periventricular White Matter Ischemic Changes
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
White matter is one of the two components of the central nervous system and consists of glial cells and myelinated axons that transmit signals from one region of the cerebrum to another and between the cerebrum and lower brain centers. White matter tissue of the freshly cut brain appears pinkish white to the naked eye because myelin is composed largely of lipid ...Read more
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
What does mulitple(atlest 10)tiny t2/flair hyperintense foci in cerebral white matter, predominantly subcortical and deep white matter implies?
See your doctor: Hyperintense white matter signals may mean nothing clinically or could be related to a host of diagnoses, including multiple sclerosis, autoimmune, etc. It has to be correlated to an exam and other testing to make any sense of it, a lot of times it is an incidental finding and means very little clinically. Your doctor will help you understand what this report means to you clinically. ...Read moreSee 1 more doctor answer
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
Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
Why did you get it?: If the radiologist knew your age and still read the report in that way I think that is a little bit unusual. But, it kind of depends on the reason you had the MRI done in the first place. Typically, that type of a read would be more common for someone who had long-standing hypertension, diabetes, high cholesterol, smoker for many years and so forth. Do you have a copy of the report or the films ...Read more
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 moreSee 1 more doctor answer
Worry? MRI:Parenchymal vol. loss of brain & min.T2 signal in periventric white matter & scatter foci of abnormT2 signal rt frontal/parietal subcortcal
Mri result very few scattered punctate foci of flair 2 signal abnormality seen in periventricular and subcortical white matter. history concussion, htn?
More likely HTN: Mri scans that demonstrate the scattered periventricular signal changes are likely showing changes from hypertension. This is a typical location for this. Severe concussions may show some signal abnormalities along the white matter tracks (diffuse axonal injury) rather than in the periventricular zones. ...Read moreSee 1 more doctor answer
Dizzy memory bal issue fainted mri scattered foci t2 periventricular/deep white matter nonspecific compatible with chronic microvascular changes. ?
Very common: Very common read on an MRI but at the same time, hard to make an assessment without actually seeing the pictures. Also, there are a number of medical conditions NOT related to the brain that will result in passing out, so follow up with whoever ordered the MRI to seek the next step. ...Read more
What does scattered althought predominantely bilateral frontal, subcortical white matter punctuate foci of signal abnormality mean?
Maybe nonspecific: If you have migraine, such white matter lesions are usually posterior, and if you had head trauma, the location may be more anterior, but both head and neck trauma could cause some increased foci. The demyelinating lesions of ms would be periventicular at right angles, but in the elderly such lesions might be c/w microvacular angiopathy, or even binwanger's. ...Read moreSee 1 more doctor answer
My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?
Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more
MRI showed moderate supratenatorial white matter disease suspicious of demyelinating process. Multiple nodular foci periventricular Could you explain?
Concern for MS, But: Phyllis, talk to the doctor who ordered the MRI, since he/she can interpret the MRI in the context of the symptoms that brought you to the clinic. In some cases, periventricular white matter lesions are the result of migraines, old head trauma, neuron migration issues, or MS. It is hard to know from just a description of the MRI which is the cause. Good Luck and Stay Healthy! ...Read moreSee 1 more doctor answer
Mild atrophy with fairly prominentperiventricular and subcortical nonspecific white matter changes. Chronic. What does this mean?
See below: These findings are not uncommon in older persons. They are nonspecific but are more frequently related to chronic small vessel ischemic disease from diabetes or hypertension. The more severe the findings, the more likely they may be related to future development of vascular dementia. If the findings are in a young person, they could be from mutlple sclerosis or other causes & need further eval. ...Read more
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
What does scattered foci off adnormal t/2 flair hyperintensity within the periventricular white matter? Mri was ordered for MS symptoms
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- Periventricular white matter microvascular ischemic
- Chronic microvascular ischemic periventricular white matter pons
- White matter ischemic change
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- Microvascular ischemic white matter change
- Microvascular ischemic white matter changes
- Chronic ischemic white matter changes
- Deep white matter ischemic changes
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