
Small Inferolateral Chronic Left Cerebellar Cortical Infarction . Minimal Diffusion

Minimal diffusion negative, punctate T2 and FLAIR hyperintense lesions
are present in the bilateral periventricular and subcortical cerebral
white matter, predominantly in the bilateral frontal and parietal
lobes, non-specific, but most consistent with minimal chronic small
vessel ischemic cerebral white matter disease. Mild to moderate
generalized parenchymal volume loss. what does this mean and will it get worst?


MRI Brain shows minor abnormalities.
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your MRI brain findings as well as the clinical details. I would like to reassure you that the MRI findings are minor and there is no need to worry. It shows ischemic changes (lack of blood flow to brain) and atrophy (shrinkage of brain). Atrophy is a normal process that occurs with ageing.
Regarding ischemia, screen for risk factors such as diabetes, high BP, cholesterol, etc. If any abnormalities, that should be corrected. If you are not on aspirin, it would be useful to start aspirin.
I sincerely hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/


Thank you for the info.
Detailed Answer:
Thank you for getting back.
Yes, since there is a contra-indication, you should avoid aspirin.
As discussed, keep sugar, BP and cholesterol within normal limits.
Dr Sudhir Kumar MD DM

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