I had an MRI and the results were and I did not get a straight answer from the Neurologist. There are multiple tiny scattered FLAIR/T2 signal in subcortical white matter of both hemispheres; the largest is in the right frontal lobe and measures 5mm.
What does this all mean? Is this a serious matter I should look into or is it normal for a 58 year old going on 59 this coming April?
In general, brain cells cannot be regenerated. (though recent studies indicate some amount of regeneration possible) So, whenever some cells are destroyed, fibrosis-like changes take place, known as gliosis. This is commonly due to ischemia in areas supplied by small blood vessels. These areas of gliosis show up as diffuse foci of subcortical white matter changes. Ischemia is common in old age, persons with diabetes, hypertension, high cholesterol, smokers. A person with these risk factors is also predisposed to stroke, but there is no connection between these changes and stroke. These changes have not yet been related to any other disease.
As far as your case is concerned, it is more important to know why you went for an MRI. The changes that were found in your MRI are non-specific at your age. But you need to be careful, stop smoking, reduce cholesterol and get treated for diabetes and hypertension, if you have these issues. Other than that, there is no specific treatment, (though some doctors prescribe blood thinners- efficacy not proven) except that you follow a healthy lifestyle.
Do keep me posted and get back with any other queries that you have.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.