Is there any good(curable) treatment for Lacunar infarctions / microvascular chroni ischemic changes (in right fronto-parietal region.)?

[mouly]

dear sir,
i would like to let you know that my mother's age is 44 years.she has high blood pressure.1.5 years back her left leg's fingers started bending slightly. gradually it was increasing with pain and her left leg does not work properly. her left hand often seems to come upwards and it would shake a little bit .after that we consulted with doctor of neuro medicine. he advised to  have a MRI. but MRI findings were normal.then the doctor pointed the disease as parkinson and suggested some medicine like- sandopa, cardism etc. but there was no improvement rather her hand and leg became stiff. about nine months we followed those medicines.

as there was not a good outcome, we went for homeopathic treatment and since last 11 months we have been continiuing it. but recently her right leg's fingers also started bending as the left leg's fingers . then we checked her blood pressure 160/110 and also had another MRI . MRI imprresion was:
Findings:
On T2W and Flair images hyperintense foci are noted in periventricular white matter of right fromtal and pariental lobes, sugestingn lacunar infarcts / microvascular chronic ischemic changes in these locations.
Ventricular system appears normal.
Midline structures are not shifted.
Pituitary, parasellar areas, corpus callosum, optic chiasma, thalami, basal gaglina, pons, medulla oblongata and cerebellum appear normal.
CP angles are clear. Visualized cranial nerves appear normal.
Normal basal flow voids are seen.

Impression:
Lacunar infarcts / microvascular chroni ischemic changes in right fronto-parietal region.


my mother's condition is becoming worse .so is there any treatment for this disease in your institute? i ll be really grateful to you if you send me detail infomation about the matter i discussed above so that i can take proper steps for my wife's treatment.

thanking you
nafsoon rahman mouly
dhaka, bangladesh.

[mouly]

thank you dr.noopur for your reply.my mother's mri says" Lacunar infarcts / microvascular chroni ischemic changes in right fronto-parietal region." i hope u remember that and i wanted to know weather there is a good treatment for the disease also.

you wanted to know about the risk factors of my mother. i would like to inform you that she has only high blood pressure(160/110),she does not have high cholesterol, or diabetes .i also want too add that she is 44 years of age, her weight is 65 kg.


i ll be really really veru helpful if u ans me these questions:
1. Is there any good(curable) treatment for Lacunar infarctions / microvascular chroni ischemic changes (in right fronto-parietal region.)?
2.if so , is this treatment is available in singapore?
3.is lacunar infraction very dangerous?

thank you for your help
nafsoon rahman mouly
dhaka, bangladesh

[DrNoopurMD]

Hi,

How are you?
Lacunar infarcts in the brain can occur due to stroke. There are many risk factors for stroke like high BP, high cholesterol, and diabetes and over weight.
Does your mother have any of these risk factors?
Weakness in the legs and toes can be due to hemiparesis which can occur in stroke. Please discuss the possibility of stroke in your mother’s case with her treating doctor. Also please make sure her BP, cholesterol and blood sugar levels are within normal limits. Do keep us posted!