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What Do These CT Scan Findings Of Brain Indicate?
Question: Hello,
My 57 year old husband recently had a CT of the brain w/o contrast following a syncopal episode( probably related to dehydration while in Florida) The report stated no intracranial process but did mention prominent cerebral ventricals and cerebral sulci consistent with cerebral atrophy. It also stated decreased periventricular white matter consistent with white matter disease probably related to microvascular angiopathy.My husband is diabetic and has a HX of cardiomyopathy.
My husband has started to become a little forgetful, and sometimes mixes up words in a sentence(he is also mildly dyslexic)
Are we to expect early dementia or possible Alzheimers disease in his future? Should we follow up with a neurologist?
My 57 year old husband recently had a CT of the brain w/o contrast following a syncopal episode( probably related to dehydration while in Florida) The report stated no intracranial process but did mention prominent cerebral ventricals and cerebral sulci consistent with cerebral atrophy. It also stated decreased periventricular white matter consistent with white matter disease probably related to microvascular angiopathy.My husband is diabetic and has a HX of cardiomyopathy.
My husband has started to become a little forgetful, and sometimes mixes up words in a sentence(he is also mildly dyslexic)
Are we to expect early dementia or possible Alzheimers disease in his future? Should we follow up with a neurologist?
Brief Answer:
Neurologial examination/Vascular dementia
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
These CT findings are suggestive of microvascular angiopathy.Hypertension is the common condition to cause these changes.Is your husband a Hypertensive also?
Even if not,he is a known Diabetic,which is also a risk factor for microvascular brain injury.
His mild cognitive problems can be due to these microvascular changes,also called as vascular dementia.However,to establish the diagnosis,he must undergo a neurological examination and it should be observed whether the brain imaging findings are consistent with neurological examination findings.He is likely to need a brain MRI for better evaluation.
Neurological examination can say on any possibility of Alzheimer's disease.Yes,you should take him to a neurologist.
If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Neurologial examination/Vascular dementia
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
These CT findings are suggestive of microvascular angiopathy.Hypertension is the common condition to cause these changes.Is your husband a Hypertensive also?
Even if not,he is a known Diabetic,which is also a risk factor for microvascular brain injury.
His mild cognitive problems can be due to these microvascular changes,also called as vascular dementia.However,to establish the diagnosis,he must undergo a neurological examination and it should be observed whether the brain imaging findings are consistent with neurological examination findings.He is likely to need a brain MRI for better evaluation.
Neurological examination can say on any possibility of Alzheimer's disease.Yes,you should take him to a neurologist.
If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your response doctor. My question is whether these findings indicate that there will most likely be further mental deterioration in the future?is this something that will progress? (My husband does not have hypertension)
Brief Answer:
Vascular dementia is not progressive by nature.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Vascular dementia is not progressive by nature.So,if medicines are taken properly and the risk factors are addressed,the course may turn to be clinically static.
If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Vascular dementia is not progressive by nature.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Vascular dementia is not progressive by nature.So,if medicines are taken properly and the risk factors are addressed,the course may turn to be clinically static.
If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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