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Chronic Small Vessel Ischemic Disease

by Charlie T, Oct 07, 2007 04:37PM
My MRI of the Brain shows the following results:

Chronic Small Vessel Ischemic Disease in the Periventricular White Matter, Adjacent to the Atrium and Trigones of the Lateral Ventricles.  

WHAT DOES THIS MEAN.  My doctor also says I may start having memory problems.
Member Comments (2)

by sunshine221, Apr 03, 2008 08:37PM
To: Dr. Neurologist.
My question is my Mri reading came back and my doctors sais nothing is wrong however I am having a lot of proplems with my left arm  arm towards my breast for almost two years now. I have been bleeding from my right nose without any course.
This is what my MRI reading says as following:

A few tiny areas of T2 hyperintensity are noted in the periventricular and subcortical white matter of the cerebral hemispheres.
The ventricular size and position are within normal limits. Incidental polypoid mucosal
thickening is present in the right maxillary sinus. No extrinsic compression of the spinal
cord is seen , thin osteochondral bars are noted behind the discs between C4 and C7 without apparent cord impingement. Neural foramina are patent. No significant abnormality is seen in the dorsal spinal canal to explain the T8-9 dysesthesia.

can you explain what is above means and what could I be suffering from.
Thank you,
Sunshine.

by Abhijeet Deshmukh, MD, Apr 03, 2008 09:10PM
To: Charlie T
Hello.

Small vessels are the smaller branches of th elarge vessels in the brain. A few examples of a large vessel would be internal carotic artery, anterior cerebral artery and the middle cerebral artery. Further branching leads to small vessels.

Chronic small vessel disease arises usually from ling standing hypertension or diabetes or some other inflammatory conditions of the blood vessels. This leads to blockage of the small vessels. The area distal to the blockage does not get adequate blood supply and cell death results.

On of the common manifestations of small vessel disease is the multi-infarct dementia (Binswanger's disease). The infarction (cell death) occurs at the junction of gray matter and white matter. Frontal lobe is usually involved.

Your MRI report suggests the abovementioned condition. Frontal lobe is the center of cognitive abilities, which includes memory. This condition is thought to be progressive.

Do you have high blood pressure of diabetes?

Regards
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