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What Does "age Related Changes With Periventricular Ischemic Leukoencephalopathy" Mean?
my father (age 59) has suffered from two mini stroke in 2004 and 2009,now in 2011 we had a ct scan the report stated: multiple small low density areas are seen in left putamen,caudate nucleus,left corona radiata b/ thalami.
generalized widening of cortical sulci is seen bilaterally.both sylvian fissures are also widened.
both lateral and third ventricals are dilated.periventricular leukoariosis is seen.
there is no mid line shift.
brainstem & cerebellum appears normal in morphology and attenuation.
impressions: age related changes with periventricular ischemic leukoencephalopathy & lacunar infracts in left putamen,caudate nucleus,left corona radiata and b/l thalami.
he is alcoholic and smokes .symptoms-feeling difficult in communicating ,in walking stairs, sometime not able to control urine discharge, slow in reasoning.
doctor prescribed- ecosprin 150 mg, atorva 20 mg, hopace 5mg, embeta 50 mg daily for whole life and strocit plus for 2 months.
what is the problem and does this medication will solve the problem.
thanking you.
generalized widening of cortical sulci is seen bilaterally.both sylvian fissures are also widened.
both lateral and third ventricals are dilated.periventricular leukoariosis is seen.
there is no mid line shift.
brainstem & cerebellum appears normal in morphology and attenuation.
impressions: age related changes with periventricular ischemic leukoencephalopathy & lacunar infracts in left putamen,caudate nucleus,left corona radiata and b/l thalami.
he is alcoholic and smokes .symptoms-feeling difficult in communicating ,in walking stairs, sometime not able to control urine discharge, slow in reasoning.
doctor prescribed- ecosprin 150 mg, atorva 20 mg, hopace 5mg, embeta 50 mg daily for whole life and strocit plus for 2 months.
what is the problem and does this medication will solve the problem.
thanking you.
Mon, 26 May 2014
Hello
Thanks for writing to HCM
Age related changes with periventricular ischemic leukoencephalopathy & lacunar infracts in left putamen,caudate nucleus,left corona radiata and b/l thalami are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels.
Iischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,your father need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.
He need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Cerebral cortical atrophy is age related finding and doesn't require any treatment.
He is getting right treatment and he should continue it.
He should totally avoid alcohol and cigarettes.
Hope i have answered your query.
Take Care
Dr.Indu Bhushan
Thanks for writing to HCM
Age related changes with periventricular ischemic leukoencephalopathy & lacunar infracts in left putamen,caudate nucleus,left corona radiata and b/l thalami are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels.
Iischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,your father need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.
He need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Cerebral cortical atrophy is age related finding and doesn't require any treatment.
He is getting right treatment and he should continue it.
He should totally avoid alcohol and cigarettes.
Hope i have answered your query.
Take Care
Dr.Indu Bhushan
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