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What Does "chronic Microvascular Ischemic Change" Mean?
Question: I am 73 years old and I recently had an MRI of my brain. The reason I had the test is due to a seizure.
We believe we may know what caused my seizure. The results I don't understand are: The bilateral hippocampi are symmetrical size volume loss and/or signal abnormality to suggest mesial temporal sclerosis. I understand about, but does this suggest the onset of dementia or alzheimers. Also, there is mild age-appropriate cerebral volume loss with secondary promin the vetricles and sulci. There is a mild patchy foci of periventricular, subcortical and deep white matter T2 hyperintensity without mass mass effect or restricted diffusion suggestive of chronic microvascular ischemic change.
I know I have a very small (not cancer) meningioma. I am scheduled for another EEG on Monday. When I spoke to m doctor, a neurologist , we discussed the meningioma, and decided what the next step would be, I ased him about memory loss . My husband died of Alzheimers. The doctor said, you read the report.
I do not know how serious the aforementioned results are and I plan on going into more detail when I see him during my next visit.
Hopefully, you can shed some light on the above. XXXXXXX
We believe we may know what caused my seizure. The results I don't understand are: The bilateral hippocampi are symmetrical size volume loss and/or signal abnormality to suggest mesial temporal sclerosis. I understand about, but does this suggest the onset of dementia or alzheimers. Also, there is mild age-appropriate cerebral volume loss with secondary promin the vetricles and sulci. There is a mild patchy foci of periventricular, subcortical and deep white matter T2 hyperintensity without mass mass effect or restricted diffusion suggestive of chronic microvascular ischemic change.
I know I have a very small (not cancer) meningioma. I am scheduled for another EEG on Monday. When I spoke to m doctor, a neurologist , we discussed the meningioma, and decided what the next step would be, I ased him about memory loss . My husband died of Alzheimers. The doctor said, you read the report.
I do not know how serious the aforementioned results are and I plan on going into more detail when I see him during my next visit.
Hopefully, you can shed some light on the above. XXXXXXX
Brief Answer:
The MRI results do not suggest serious abnormality
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms and MRI reports. First of all, I would like to reassure you that there is in need to worry about the findings.
There are two main findings:
1. Chronic Microvascular changes, which suggest small areas of brain ischemia (lack of bold supply to brain). This may occur in people with high blood pressure or blood sugar. An aspirin tablet may be needed to prevent further ischemia.
2. Mild brain atrophy- refers to decrease in brain volume, which routinely happens with ageing. There is no need to worry about it.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
The MRI results do not suggest serious abnormality
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms and MRI reports. First of all, I would like to reassure you that there is in need to worry about the findings.
There are two main findings:
1. Chronic Microvascular changes, which suggest small areas of brain ischemia (lack of bold supply to brain). This may occur in people with high blood pressure or blood sugar. An aspirin tablet may be needed to prevent further ischemia.
2. Mild brain atrophy- refers to decrease in brain volume, which routinely happens with ageing. There is no need to worry about it.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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