Ischemic Disease

I had an MRI of my brain.  I am 49 and am having bouts of severe forgetfulness, and severe personality swings.  I have high cholesterol and borderline/high blood pressure.  The results of the MRI say:

Following contrast administration, there are 2 areas of mild contrast enhancement seen on image 16 of series 9.  These are ill-defined, located in left frontal and parietal lobes.  Capillary telangiectasias are most likely.

Multiple foci of increased T2 and FLAIR signal in the periventricular and deep white matter likely representing early chronic small vessel ischemic disease.  

What the heck does all that mean???  The doctor said that there was nothing that could be done.  To go home and do the best we can.  In this day and age, I cannot accept that.  What do you suggest??

[julia10]

would like to know what small vessel ischemic disease is?

[Godofredo MD]

Hi.

Capillary telangiectasias are vascular malformations consisting of small areas of abnormally dilated capillaries within otherwise normal brain tissue. Most capillary telangiectasias are clinically insignificant, and have been associated with minor symptoms such as vertigo, headache, and dizziness, as well as weakness and seizures. However, memory loss and personality swings have not been associated with this condition.

Small vessel ischemic disease, in this case, is probably associated with hypertension.

You should consult a neurologist to properly assess your symptoms.

Good luck.