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What Does This MRI Report Indicate?

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Posted on Wed, 28 Sep 2016
Question: I have diabetes have had a optic stroke and my Mir shows scattered hemispheric unspecific white matter what am I facing I'm 54 years old
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Answered by Dr. Dr. Erion Spaho (47 minutes later)
Brief Answer:
There is risk of subcortical dementia syndrome.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Nonspecific white matter changes found on MRI are caused by a variety of conditions such ischemia, micro-hemorrhages, damage to small blood vessel walls, loss and deformation of the myelin sheath.

In your case ischemic changes due to small brain vessels damage/narrowing by diabetes is one possible explanation.

Since you had optic stroke too, ischemic microstrokes are also a possible explanation of these MRI findings.

Chronic high blood pressure and diabetes are the main conditions that need to be controlled correctly in your case to stop progression, because there is risk of developing subcortical dementia.

Discuss with your Neurologist about these issues.

Hope you found the answer helpful.

Let me know if I can assist you further.

Greetings.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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What Does This MRI Report Indicate?

Brief Answer: There is risk of subcortical dementia syndrome. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. Nonspecific white matter changes found on MRI are caused by a variety of conditions such ischemia, micro-hemorrhages, damage to small blood vessel walls, loss and deformation of the myelin sheath. In your case ischemic changes due to small brain vessels damage/narrowing by diabetes is one possible explanation. Since you had optic stroke too, ischemic microstrokes are also a possible explanation of these MRI findings. Chronic high blood pressure and diabetes are the main conditions that need to be controlled correctly in your case to stop progression, because there is risk of developing subcortical dementia. Discuss with your Neurologist about these issues. Hope you found the answer helpful. Let me know if I can assist you further. Greetings.