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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Chronic Microvascular Ischemia Mean On An MRI Of Brain?

What does chronic microvascular ischemia mean on an MRI of brain. More specifically )Mild generalized frontal volume loss and mild to moderate expansion of the ventricles is seen. Also a few small FLAIR hyper intense lesions are seen in the deep white matter regions of the cerebral hemispheres. The largest in the right occipital lobe measures 4mm
Thu, 30 Oct 2014
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Neurologist, Surgical,  's  Response
Hi I have gone through your question and understand your concern.

The generalized frontal volume loss is a normal finding on MRI in people over 60 yrs old, while the enlarged ventricles are a normal consequence. The chronic microvascular ischemia is a general term given to the multiple hyperintensities seen in the white matter on T2 and Flair sequences. These have been corelated to uncontrolled high blood pressure, but not a specific brain pathology itself, rather a consequence of bad treatment of bp.

I recommend a cardiologic evaluation of your blood pressure and appropriate treatment (remember: half of the hypertensive people get no treatment, and half of those who get treatment are treated bad)

You should also take a MMSE (mini mental state exam) by a neurologist for the frontal volume loss because sometimes it may be associated to early signs of Alzheimer disease.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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What Does Chronic Microvascular Ischemia Mean On An MRI Of Brain?

Hi I have gone through your question and understand your concern. The generalized frontal volume loss is a normal finding on MRI in people over 60 yrs old, while the enlarged ventricles are a normal consequence. The chronic microvascular ischemia is a general term given to the multiple hyperintensities seen in the white matter on T2 and Flair sequences. These have been corelated to uncontrolled high blood pressure, but not a specific brain pathology itself, rather a consequence of bad treatment of bp. I recommend a cardiologic evaluation of your blood pressure and appropriate treatment (remember: half of the hypertensive people get no treatment, and half of those who get treatment are treated bad) You should also take a MMSE (mini mental state exam) by a neurologist for the frontal volume loss because sometimes it may be associated to early signs of Alzheimer disease. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.