Should I pursue a further neurological work-up? A MRI Brain Scan w/without contrast taken a month ago revealed a left perietal venous angioma along with chronic white matter periventricular ischemic changes more prominent on the left than the right. There is also a focus of deep white matter in the posterior left frontal region. My primary care physician told me there is damage and narrowing of the arteries; prescribed Zocor, diet, exercise and blood tests. I am 62-years old, a nonsmoker or drinker. I do take Lamictal/Klonopin for bipolar 2. My mother died of a stroke at age 69 (smoker). My maternal grandmother also had a stroke. I am very concerned.