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What Does This MRI Report Of Brain Showing Chronic Small Vessel Ischemia Indicate?
Question: My MRI report says the following: "chronic small-vessel ischemic changes are present throughout the subcortical white matter. No other abnormality is seen." Also, "scattered foci of increased signal on T2 sequences are felt throughout the subcortical white matter."
I am a 52-year old woman with lifetime normal-low bp (105/65); no smoking, no diabetes (but my AIC is 5.7), normal weight, no history of heart disease. I have had 2 concussions from auto accidents that result in migraines w/aura. Father had massive stroke at 36; his mother died at 45 of an aneurism.
What's going on?
I am a 52-year old woman with lifetime normal-low bp (105/65); no smoking, no diabetes (but my AIC is 5.7), normal weight, no history of heart disease. I have had 2 concussions from auto accidents that result in migraines w/aura. Father had massive stroke at 36; his mother died at 45 of an aneurism.
What's going on?
Brief Answer:
Low perfusion
Detailed Answer:
Hi,
Thanks for your query.
Sorry for the delay in my response.
Low blood pressure could lead to low perfusion in the brain which can result in chronic small vessel ischemia and present as increased signal in MRI.
There is no need to worry as these minor ischemia may cause serious problems like stroke. But yes, on along term they may cause problems related to memory, reasoning skills, and sometimes motor problems etc.
You may have to be under constant watch of a neurologist and also find solutions to improve your blood pressure.
Wish you good health.
regards,
Low perfusion
Detailed Answer:
Hi,
Thanks for your query.
Sorry for the delay in my response.
Low blood pressure could lead to low perfusion in the brain which can result in chronic small vessel ischemia and present as increased signal in MRI.
There is no need to worry as these minor ischemia may cause serious problems like stroke. But yes, on along term they may cause problems related to memory, reasoning skills, and sometimes motor problems etc.
You may have to be under constant watch of a neurologist and also find solutions to improve your blood pressure.
Wish you good health.
regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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