Hello
Increased signal intensity in subcortical white matter of brain and periventricular region may be due to ischemic changes resulting from involvement of small blood vessels(vasculitis),
demyelination etc.
Ischemic changes resulting from blood vessels changes in diseases like
hypertension,
diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered
lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Proper treatment depend upon findings.
You also need follow up scan. Vasculitis may progress if underlying cause is not treated.
MRI finding also suggests degenerative disc disease in lumbar spine.Initially it should be manged conservatively in the form of
physiotherapy,analgesics etc.
Surgery should be last option.
Take Care
Dr.Indu Bhushan