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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Mild To Moderate Chronic Micro Vascular Ischemic Change Indicate?

I had a MRI because I have problems with shaking of my hands and and body. My writing had degenerated significantly. The MRI Comment states: "Mild to moderate chronic microvascular ischaemic change. The predominantly subcortical white matter distribution raises the possibility of amyloid angiopathy as the underlying cause though there is no evidence of microhaemorrhage on the gradient sequence." Can you explain what this means?
Thu, 17 Jul 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Chronic microvascular ischemic change are related to ischemic changes resulting from involvement of small blood vessels.
Ischemic changes resulting from blood vessels changes in diseases like hypertension,amyloid angiopathy,diabetes mellitus,dyslipidemia etc.
In your case it is most likely due to amyloid angiopathy.It should be confirmed by further investigations.
Proper treatment depend upon findings.

Hope i have answered your query.
Take Care
Dr.Indu Bhushan
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What Does Mild To Moderate Chronic Micro Vascular Ischemic Change Indicate?

Hello Thanks for writing to HCM Chronic microvascular ischemic change are related to ischemic changes resulting from involvement of small blood vessels. Ischemic changes resulting from blood vessels changes in diseases like hypertension,amyloid angiopathy,diabetes mellitus,dyslipidemia etc. In your case it is most likely due to amyloid angiopathy.It should be confirmed by further investigations. Proper treatment depend upon findings. Hope i have answered your query. Take Care Dr.Indu Bhushan