Top
30
Doctor insights on: Small Vessel Disease Of The Brain Prognosis

Share
1

1
70 yr female- diagnosed small vessel brain disease, cerebral athropy - stroke 10yrs ago balance and walking bad need cane what is prognosis?

70 yr female- diagnosed small vessel brain disease, cerebral athropy - stroke 10yrs ago balance and walking bad need cane what is prognosis?

Manage risks: Cerebrovascular small vessel disease builds over decades; we can't reverse it, but we can manage risk factors that caused it. Keep blood pressure on target. Manage blood sugar, prevent diabetes. Keep cholesterol & lipids on target. Do aerobic exercise at least 3 days/ week, more is better. Limit alcohol to 1 drink a day or less. Eat a healthy diet; limit fats, sodium & sweets. Good luck! ...Read more

Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more


2

2
Can small vessel disease of the brain cause pain in the feet?

Can small vessel disease of the brain cause pain in the feet?

No.: Pain in the feet is much more likely to come from small vessel disease in the feet and involvement of distal nerves. ...Read more

3

3
My husband was told that if got in an airplane would cause to much pressure in the blood vessels and they would bust? Small vessel disease of brain

My husband was told that if got in an airplane would cause to much pressure in the blood vessels and they would bust? Small vessel disease of brain

Not true, but...: If there is any reason to believe you have a congenital brain aneurysm, or if you have a true headache problem, see a neurologist after a regular check-up with your pcp. Headaches should not simply be thought of 'it's just stress'; new onset of headaches, or a change in type or frequency of headache must be evaluated. ...Read more

4

4
The MRI of my brain showed moderate small vessel disease & diffused atrophy. I am a 69 yo female with a balance problem and dizzyness.

The MRI of my brain showed moderate small vessel disease & diffused atrophy. I am a 69 yo female with a balance problem and dizzyness.

Sorry: Those are age related degenerative changes that you can't correct. I suggest physical therapy (Tai Chi is helpful) and maybe consider using a cane. Be sure you blood pressure is under control and that your cholesterol is optimized. ...Read more

5

5
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

6

6
Iscrmic small blood vessel disease found on my brain mri, could this be connected to me having low blood oxygen levels, with passing out?

Iscrmic small blood vessel disease found on my brain mri, could this be connected to me having low blood oxygen levels, with passing out?

Too many issues here: U need to return to whomever ordered your mri, etc & get all of your issues addressed. U have a cute name, made me smile with your good sense of humor. See our website for help: www. Thepmc. Org. Hrs, md, facc. ...Read more

7

7
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

9

9
I get angina symptoms but the doctors say that my heart is fine. Small vessel disease showed up in stress test, CTA, x-ray, echo and EKG. I have 10 lesions in my brain and they're trying to rule out MS but would they miss SVD in MRI?

I get angina symptoms but the doctors say that my heart is fine. Small vessel disease showed up in stress test, CTA, x-ray, echo and EKG. I have 10 lesions in my brain and they're trying to rule out MS but would they miss SVD in MRI?

No, if done correct: Both stress test with radiotracer (nuclear stress test) and cardiac MRI with contrast can have findings that correlate with small vessel disease. If a nuclear stress test is definitely positive, the CTA negative and the person has typical anginal symptoms; they more likely have small vessel disease than anything else. Chest pain on a treadmill remains the most reliable indicator for true angina. ...Read more

10

10
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

11

11
Would cerebral small vessel disease be seen on MRI without contrast?

Would cerebral small vessel disease be seen on MRI without contrast?

Possibly: Small vessel disease can at times be seen with MRI, and sometimes there are additional focal changes in the deep white matter strongly suggestive of small vessel disease. Other time, contrast is needed. For example, a cluster of very small vessels and some developmental vascular lesions are only seen with contrast. The lack of findings on MRI does not exclude small vessel disease. ...Read more

13

13
My cat scan showed mild intracranial atrophy and mild supratentorial small vessel white matter disease?

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

14

14
In an article in the american heart and stroke association enlarged perivascular spaces on MRI are a feature of cerebral small vessel disease. True?

In an article in the american heart and stroke association enlarged perivascular spaces on MRI are a feature of cerebral small vessel disease. True?

Not necessarily: Generally, when one speaks about enlarged perivascular spaces, that is just what it is. A larger space around the vessels as they travel in the arachnoid space in the brain. These are often called virchow robin spaces and are normal variant. Sometimes, small vessel disease can lead to microinfarcts that lead to atrophy. This loss of volume can lead to the appearance of larger perivascular spaces. ...Read more

15

15
81 year old mother, CT periventricular deep white matter changes and moderate small vessel iscjaemic disease. Serious?

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

16

16
Have small vessell disease of the brain and the heart that causes severed headache when I over exert and I have chest pain and jaw what treatment?

Have small vessell disease of the brain and the heart that causes severed headache when I over exert and I have chest pain and jaw what treatment?

Tough problem: I can't make recommendations, but diffuse small vessel disease can be tough to manage. Stents and bypasses to the heart need a minimum diameter and only work with discrete blockages not a narrowing of an entire vessel. Treatment often involves anti-platelets (aspirin etc) aggressive diabetes control, cholesterol control, diet, weight loss. Talk with your doctor maybe second opinion if not happy. ...Read more

17

17
Does raynauds disease an scerloderma, link to lungs like upper lobe, and affect, heart, kidneys, brain, eyes, through blood vessels to brain and limbs?

Does raynauds disease an scerloderma, link to lungs like upper lobe, and affect, heart, kidneys, brain, eyes, through blood vessels to brain and limbs?

Collagen Vascular Dx: Raynauds and scleroderma are likely collagen vascular disorders and overlaps amongst these disorders can cause vasculitis or inflamation of blood vessels in lungs and other organs. ...Read more

18

18
Can I live a long healthy life with small vessel desease brain?

Can I live a long healthy life with small vessel desease brain?

Complex discussion: The answer depends on how you got this diagnosis. Many patients in 50's or older have non-specific, seemingly minor, findings on brain scan. Radiologists struggle with what to say about these minor, non-specific findings. Often they are given a label of "small vessel disease" more in service to providing a label than in service to confirming a brain state. Not an easy discussion. ...Read more

19

19
If someone gets quite cold, is it possible the small vessels in the brain also constrict?

If someone gets quite cold, is it possible the small vessels in the brain also constrict?

Prevent brain damage: Following actions are associated with brain hypothermia:reducing cerebral metabolism, normalization of intracellular water concentration and intracellular ph, restoration of normal intracellular signaling mechanisms, restoration of protein synthesis and gene expression, inhibition of deleterious inflammatory products, attenuation of CSF platelet-activating factor, inhibition of cytoskeletal breakdown. ...Read more

20

20
What is small vessel desease brain and what are the odds of getting Vascular Dementia?

What is small vessel desease brain and what are the odds of getting Vascular Dementia?

Depends on severity: Small vessel disease is the term used to describe a category of blood vessel damage. Hypertension, cholesterol, and diabetes tend to damage small blood vessels first but the main culprit is systolic hypertension. The risk for vascular dementia is directly related to how bad the extent of damage is in your brain which loosely correlates with white matter damage in MRI ...Read more

21

21
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

22

22
Is it possible to have a normal MRI of brain (without contrast), but still have a clot or clots in small/medium blood vessels of brain?

Is it possible to have a normal MRI of brain (without contrast), but still have a clot or clots in small/medium blood vessels of brain?

POSSIBLE: Depending on resolution of mri, and thickness of cuts, is possible to miss small stroke, and not visualize minimal pathology, but a clinical exam by a neurologist should be able to correlate a potential stroke if exam is consistent, regardless. In some cases, a followup image is useful. ...Read more

23

23
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

24

24
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

25

25
Had mri, showed normal, but at the end it said a subtle amount of white matter from previous MRI could indicate early chronic something small vessel.

Had mri, showed normal, but at the end it said a subtle amount of white matter from previous MRI could indicate early chronic something small vessel.

Not too serious: I would not worry too much. Make sure that you cholesterol and blood pressure have been checked. If you are chronically worried, though, maybe having another doctor look at the images for you would be a good idea. ...Read more

26

26
I have chronic small vessel ischemia of bilateral cerebral white matter. How bad is it. Narrative?

I have chronic small vessel ischemia of bilateral cerebral white matter. How bad is it. Narrative?

Non-specific: Assuming this is on an MRI, it’s a relatively non-specific finding which can be found in diagnoses as varied as hypertension, diabetes, Lyme disease, MS and migraine headaches. Really depends on your age, medical history and symptomatology. This finding really can’t be properly interpreted in isolation. ...Read more

27

27
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

28

28
45 yo f MRIs:. 2009:3 foci of white matter hyperintensity. Possible remote small vessel ischemia 2015:scattered areas of hyperintensity. Concerning?

45 yo f MRIs:. 2009:3 foci of white matter hyperintensity. Possible remote small vessel ischemia 2015:scattered areas of hyperintensity. Concerning?

Hard to know: Radiologists are trained to report on images without knowing anything about a patient. This way, everything gets included; even findings that are normal for most people. For a person with family history of early onset dementia and cardiovascular disease, for example, these findings could be meaningful. You can consider a virtual c/s w/ neurologist to review the images and in context. ...Read more

29

29
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

30

30
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