After complaining about big time memory loss, both short term and long term, and dizziness, my gp ordered an MRI with and without contrast. His nurse called me with the results to say that there were no masses, no atrophy, no sign of stroke (which is in my family big time) but there was evidence of small vessel disease. My Doctor did not note that he needed to see me. I am very frustrated. I did make an appointment to see him, (first appointment I could get was at the end of the month). Should I be concerned? I was diagnosed with type 2 diabetes about 4 years ago but have it in very good control. My last 3 A1Cs have been around 5.6-5.8. I take hyzaar for my blood pressure which was 122/70 last time. I am confused. Should I be worried?
Small vessel ischemic changes are commonly seen on MRI's as patient's age. Unless there is a significant amount ( I would need to see the film to determine what is alot) it probably does not explain your symptoms. The diabetes and high blood pressure are risk factors for small vessel changes, but it appears you have these under good control. Therefore, I would recommend continuing good control of these risk factors, and discuss the degree of abnormality when you see him. These changes can also be seen in "healthy" people as they age. Regarding the memory complaint, it may be reasonabel to see a neuropsychologist. They can perform testing to detect subtle changes, and may be able to recommend strategies to overcome any detected problems. Good luck.
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