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Small vessel ischemic disease at age 29
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Small vessel ischemic disease at age 29

I am 50, disabled ten yrs and have had bipolar disorder since 14-16 years (and possibly dissociative disorder since 14 years). Since 14 I've had disoriented speech, difficulty speaking (and socializing), very weak mental energy along with BP. I had many psych hospitalizations in early 1990's (plus ECT 1992). 1993 MRI (brain) results were "poorly defined foci of high signal in periventricular white matter which is more prominent than on the earlier study and is most consistent with small vessel ischemic disease". 2014 MRI (brain) results (for headaches) were "Normal MRI of brain".

I've had chronic headaches since 1994, very little relief of mood disorder symptoms and very low social and work functioning. I have never been obese and/or had diabetes, only smoked between 2000-2002 and have exercised pretty regularly since my 20's.

How much should I be concerned now with small vessel ischemic disease and is it rare to see this around 30 yrs old? Could this 1993 MRI finding be a mistake? Should I see a neurologist for possible med maintenance of this disease? Thank you.
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