Excellent! Exactly what I was looking for. I am a registered nurse just told I have increased amount of white matter. This explanation beautifully and completely and clearly presents the information as well as the pictures. Thank you.
thank you for this...I was just dx by Neurologist and later went to my PCP and he laughed at me and told me EVERYONE has this and its nothing to be concerned about...He gave me a very hard time and I left there crying w/ BP through the roof.....I have a history of Migraines & hypertension ..I am typing this with a eeg in home monitor on for 4 days.....My Neurologist also scheduled for PET scan....My PCP was laughing telling me I dont need to change my diet or anything...cause having this is normal, im a 71 yr old (young looking and feeling lady ??? Cant understand why the primary care Dr was sooo careless with me about this...but what you have said is exactly what the Specialist Neurologist told me and family???
My mom has this supposedly, vascular dementia but my sisters took her to the neurologist and I think this is what they saw on whatever imaging test they did. I understand your PCP's point in a way because eventually many will also show heart disease and gum disease too but that doesn't mean you don't do what you can to prevent it from ruining your life prematurely if you can "fight back" and keep yourself in as good of shape as possible for as long as possible. Let me know what you find out and do etc?
Talia, my experience is exactly the same except my chronic migraines stopped about 10 years ago. My pain & rehab specialist diagnosed this but my two gps ( we moved) couldn’t see that I was worried about it. My Faseka score was 2 indicating progressive or malignant processes. It’s frustrating!
Tyvm You are doing a great public service. Many of us are scared, confused and our lives are a living hell bc we are worried. I appreciate your videos. Thank you dear.
You did an excellent job at explaining id of explaining this. The speed in which you speak and the tone are perfect. Sometimes it's not always easy to understand people when they talk fast or too loud or too soft. I was just diagnosed with Cerebral Small Vessel Disease because of a brain MRI that I had with and without contrast. I definitely have symptoms. That is what brought about getting the MRI. For a couple or more years I have been very forgetful but in the past maybe last year I see a big cognitive decline with a lot of confusion. Sometimes I can be standing in a group that is talking and I can hear them perfectly but I cannot understand what they are saying. I am a constant reader and always have been but lately I am having a lot of trouble reading. As I finish off reading the last half of the sentence, I cannot make any sense of it because I have already forgotten what the first half of the sentence was about. Sometimes, I just cannot make sense of the information that the person is trying to give me. I have never been a big drinker when I was young and I don't drink at all anymore. Not that I ever drank a lot to start with. I am one of those people who just can't stand the taste of alcohol. I get that "tip of the tongue" phenomenon. An example is not being able to recall a friend that I have known forever. I am also saying things to people that in the past I would never have said out loud. I used to be really liked and I has had a fun time wherever I go. However now, since depression set in about 10years ago with anxiety. I can't work and I only leave my house in I have a doctor's appointment. Im 55 yrs old and after all these years of driving, I suddenly hate to drive and am very nervous doing it. I lean against my wall when I am coming down the stairs because I feel like it i don't , I will fall down the stairs. I no longer have fun doing anything. I don't like to socialize and my immediate family hates me (husband and three 22 yr olds). I was hoping you could do a video on other diseases that this can lead into like for instance Frontal Lobe dementia or maybe it's called Frontal Temporal Lobe Detention along with other disease that this might turn or progress into. I was also wondering in general how long it took to lose your mind completely and what the average life scan generally is. I need to do a lot of preplanning because of how poorly my family treats me. I understand that some people don't want to know but I absolutely need to know or I am going to die in this house of abuse because pretty soon I will no longer be able to protect myself and speak up or maybe not even know right from wrong. I am my only advocate for myself.I am sure that that family will just leave me laying in pooh if it ever comes to that. I would also like a little more information on the disease covered. For instance, what type of things that are ingestion that can cause this. And if you are having brain tissue dying in your head, is it possible that this is happening to some degree all over my body. Is there anyway to grow neurons back? Would exercise bring on new brain cells or just maybe improve the ones that are still there? I have read many articles on depression which seems to be optimistic about growing new cells or maybe they were just talking about improving old ones. I am kind of bitter because I would spend my entire day for years reading and doing online courses, reading new things, working on learning new languages everyday but The MRI said when adjusted for age, my brain volume is in the lower 20 percentile. They also names a couple of specific brain areas that were also shrinking away I realize that you are not a substitute for my own doctor but the extra education would be so much help and so appreciated. I forgot to mention that I also have compete blackouts. Meaning that say two days ago I went to a doctor's appointment but two days later I will see it on my calendar and panic because I missed the appointment when if fact I did go but have absolutely no memory of it happening. Sometimes I will for forget an event or something I said and when someone mentions it I will vaguely remember it but with the blackouts I absolutely remember nothing. No matter what the person says to me to try to get me to remember. That scares me. I don't know how drunk people do that to themselves.
Thanks 😊. Just diagnosed from this disease. Last July falling to left, no balance, loss of speech , confusion and couldn't write or spell . Ambulanced twice within 3 weeks. I was Quoted Tias mini strokes. Placed on high doses of Statin. My cholesterol was 4 times higher which my family Dr known for 4 years . I complained about migraines and confusion 3 years ago. Had mri and he quoted all normal. After July had ultrasound and Mri . Shown left carotid blockage 70 % and right 50 %. Nero and cardiologist taken my case. Placed high doses of Stain to bring down inflammation and aspirin.. I had a different episode last January. Left shoulder to hand numb and no balance. Mri again. They called a specialist in to see me. He told me I have spots everywhere in my brain and had this problem since mri 3 years ago. WTH??? I said "why nobody mentioned this to me ?" He said "They probably thought my family Dr told me all this time. Go home and take higher doses of statin and another med and be close to your family. "I was in total shock and broken down. I just checked on info just now as taking Ritriptan for migraines. This is my 13 th pill 💊. I have flares back and forth . Question why I'm hypotension then hypertension back and forth. Heart rate average always 90 to 135. ? No point to be treated either way for that issue. My cholesterol is back to normal since September but the specialists said not yet to bring down med . Prevestatin 80 and plus another . I dropped them as to drugged up . My balance, speech, not as confused and my writing almost normal. My spelling still an issue. Stroke department kept saying I'm to young having this problem as mid 50s. This should be in late 80s. But its Genetic from my mothers side .
I am in the same boat, diagnosed with mild CVSD. I have no blood pressure issues and my calcium score is wonderful. I have anxiety and some depression. Been having some pretty concerning balance problems as well as noticeable cognitive functions ,but not severe. 56 years old when diagnosed, I'm 59 now.
@@dlambethful sorry for delay . Just seen your comment. I'm not able to take the high doses of Statin as I'm to confused. I do take 20 mg and aspirin daily . My blood pressure still goes to high or low. Now dealing again with anemia . This is an ongoing problem since a child. Honestly I'm living without any care about my health as the damage is done and nothing they can do for me as blockages to close to the brain. I live day by day. I'm totally fedup of Drs Honestly. I'm in Canada and Healthcare is so slow here . Takes 3 years to see a speacist or MRI. I dumped the stroke department as no transportation. I had take care of myself
Can you have blurry vision with this . Iam getting concerned. I had a CT scan due to a bump that I hit my head on a granite countertop. My scan was Chronic Microvascular Ichemic vessel changes .
Thank you, Doctor Evan. This is by far the simplest and most forthright explanation I have been able to find in its detail and in simpler terms that we patients can understand and use for further testing and/or lifestyle changes. God bless you in your specialty.
Thank you sooo much! I have seen 3 different Neurologist. One retired, one closed his practice and now seeing the best in my area. Also seeing neuro opthmologist because of vision issues. You have explained this better than any of them! I’m very knowledgeable about medical issues and I get the impression that the doctors I’ve seen don’t think I’ll understand if they use medical terminology with me! It’s so frustrating! My neuro ophthalmologist is awesome though! He goes into great detail and spends a lot of time with me at appts. Thanks again for this info!!
thank you so much, Dr Evan. Very calming voice, but what's more, what you had to say about how common this condition is was quite reassuring. I can now relax a bit, at least until I see my neurologist next week. I'd been a bit depressed and nervous since yesterday when I read the results of my MRI the day prior on my patient portal.
One of the best explanations ever - thank you. My MRIs have shown these from the time I was in my 40's and the report always said one of three things MS, Vasculitis, or Ischemic vessels. Since then and as I have aged, the subsequent reports just say due to my age, they would call it ischemic with no longer regarding MS leading all the docs to no longer consider MS or other demylinating (SP) diseases even though I have had vague symptoms MS type symptoms ever since my 40's just undiagnosed. Am I justified in being upset that now that I am older (65) it doesn't matter what my earlier reports indicated? One thing I would change on your videos is to remove the background music.
I have had the same experience, and frankly, I am tired of everything that has bothered me for 20 years being written off to my age, especially since turning 65 a couple of years ago. So numbness in extremities on one side, fatigue since my 30s, intermittent waves of having balance issues, heat intolerance, and joint and muscle pain are all dismissed since I am a couple of years older. It's discriminatory.
@@dancingflowers2001 Please be safe, if you don’t trust one doc go to another. Just ask them to do complete blood work, review it yourself, look it up. Sometimes they focus more on your insurance vs healthcare.
@@dancingflowers2001•Do a full blood panel my GP is actually good 👍🏾 I have had the bad & the ugly !So I am on to the good I also am similar age I was really Deficient on D3 /Anaemia plus am still (Up /Down all over the place with my Sodium?Makes no sense fluid restrictions makes my kidneys feel like they have died and passed away personally I nearly had a nervous breakdown!Try really healthy diet ?But I would change GP get someone to advocate for you ?I couldn’t even remember exactly what he had said “By the time I came out !”I to can only text this has been since 2016?This apparently incidental finding😭😭After I nearly had nervous meltdown on the spot ,i delegated to my brother my B/P is low ?My Mum died of blood clot very suddenly at very young age (Apparently mine is possibly Prolonged use of Epilepsy Medication?)An incidental finding after I nearly had on the spot mental breakdown-Told him Euthanise me if it’s dementia pls do not tell me tell my brother not me as my Mums/Mum my Grandma’ all 4 of her sisters died of it ..😭😵💫I am none the wiser I should think it’s shrunk more with the stress of the incidental finding on my spine as I had ongoing numbness (I was catching everything going ,I already had a brain injury but this is worse )I feel like I am having to use it or loose it (Including the plot )Ophthalmology referred me to Neurologist pre my brain MRI as I was all over the shop falling over headaches and (My vision changed what I thought was a headache,blurred vision was my eyes working separately but not together ..)They keep saying something is autoimmune so next stop is urgent appointment with Endocrinologist…I shall update you in 2 Years when I get the appointment if I remember also (Try setting alarms /On a phone for food to eat !In case you forget ?)I have had to get laminated labels for my cupboards -Meds in a box .I keep forgetting money it’s like loosing the plot prior to this but knowing you have ?
Good info! I zeroed in on your comment about "most MRIs" showing this result. At first I thought it implied that most of the general population has this condition. Then I realized that getting an MRI in the first place only happens to the population having some symptom(s). In my case - 63 and have impaired balance, frequent/urgent urinary, and unable to multi-task along with some diminished focus. PC ordered MRI - which showed "mild to " Chronic Microvascular Ischemic disease. It is the MODERATE word that scares me. After next visit with my PC about the outlook, I plan to aggressively research how to keep the M-word from becoming any worse. So far, the bottom line seems to be about controlling BP and pre-diabetes (for me). Thanks again!
Thank you I have this. White matter disease. I have a long standing history of severe hypertension and I did have migraines at Puberty and menopause. My internist told me that mine were mostly caused by age. I am 76.
I have white matter degeneration on my mri at 74 .now 75 was having dizziness and have pressure and heavy heads also stops me doing anything ( came on suddendly mid 23.so upsetting
Thank you for this video and great explanation. My latest MRI has mild white matter changes written in the report and now I know what to look for on the images. Of course my doctor hasn't even looked at the report or images from 6 months ago, retired on me, and I have to be my own internet doctor. Subscribed...!
Thank you Dr. Evan for posting this very informative and well presented video. It is a very caring thing to do ❤. A new diagnosis like this can be very confusing and alarming for people.
Im a 62 year old male in decent physical condition. Ive had lung sarcoidosis for 30 years, and cardiac sarcoid for about 2 years. Currently doing well with monthly infliximab infusions and heart meds to regulate irregular beats. I also have an implanted defibrillator/pacemaker, which I havent had to use yet, thankfully. My major with out contrast was to check for neuro sarcoid and it detected moderate ischemic disease. My cholesterol is a little out of normal range but the docs are not concerned about it. Im watching my diet, and we're retesting blood in 2 months.ive also been diagnosed with a weak swallow so the test was done to rule out other neurological conditions. Ive had the swallowing issue my whole life though it was officially diagnosed with a test this year. Otherwise feel ok i guess. I work full time as a line cook, lots of multitasking, memory intensive work. No problem except i tire easier than i did 20 years ago. Ill bet that goes for most people. Im looking to gwt the mri evaluated by a neurologist and working with my rheumatologist to do that. Its scary for sure. But i just push on like i always have. Thanks
@sabeaver9677. Agree what about long covid from covid infection & vax. I'm seeing a MS specialist tomorrow based on MRI findings. 🙏🙏🙏 & God Bless everyone!!!!! The symptoms r unbearable since 2020 but also feel mild symptoms began over 20 yrs ago im now 52 female-🫶🫶🫶
Ty for your explanation. I got this result from my MRI 2 days ago and it’s worrisome. You made me feel better. I don’t have HTN, diabetes not high cholesterol but am on aspirin regimen for high platelets count. I lost taste and smell prior to covid that’s what prompted my ENT doctor for an MRI. But I tell you though I will need to focus on taking care of myself. Ty so much!
Hi Dr. Even. Thank you so much for this video, I feel like I’ve understood a little more than my doctors have told me. I have problems walking properly since 2018, over time my hamstrings muscles tend to tighten up which makes normal lifting my leg when walking very difficult and painful. I also have incoordination problems. I did an MRI in 2020 & the findings were: - MRI examination reveals few small focal T2/FLAIR white matter hyperintesities largest of 6X4mm which is perpendicular to longitudinal margin of the body of right lateral ventricle and in left 4mm in frontoparietal region and a hyper intense focus of 8X6mm in left temporoparietal region. No restricted diffusion in DWI and no enhancement following contrast... - IMPRESSION: * Few small focal T2/ FLAIR white matter hyperintensities with perpendicular to longitudinal margin of body of lateral ventricle and one in left temporoparietal region. Differentials: 1. Chronic small vessel ischaemia. 2. Demyelination (in view of the incordination while walking). * Rest of the brain parenchyma is within normal limits. I was given a prescription of aspirin for about 3 months (half & full daily doses) My leg problem has become very bad over the years and now it’s impossible for me to walk 50 meters without needing to stop and rest. My legs just don’t lift up! KINDLY ADVISE 🙏🏾
Hey, thanks for your response 😊 Yes - * Lumbar MRI - muscle spasms * Cervical spine MRI - Cervical lordosis is reversed & muscle spasms * Nerve conduction study - normal. Impression from a rheumatologist & neurosurgeon is either multiple sclerosis/ lupus/ dermatomyositis/ polymyositis So 🤷🏽♀️ I’ve run out of funds to do more tests eg. EMG etc….
Love your content. Retired pharmacist trying to understand my 79 y/o aunt's findings. Nice to have a little understanding prior to meeting with her PCP. Thank You.
Bless you Dr. Evan. Your explanation is worth its weight in gold. I will look for more of you easy to understand education. How do we find you for consult?
The best way to keep them healthy is the same as keeping any part of your body healthy - exercise, good diet, no hypertension or high cholesterol, no smoking, limited alcohol, etc. That being said, some people will still end up with some white matter disease based upon normal aging and/or their genetics.
Great 👍 presentation on what to hear or what a person should hear from a doctor’s perspective on a brain MRI. I am allergic to contrast dye, so, can you show the difference between MRI’s with or without dyed images. Thank you, DJM
Can an MRI read chronic T2 hypersensitivities in the supratentorial WM & migrainous angiopathy without it being concerning- with only POTS & adhd ad hx?
Hi i am 35 and i have it too on my MRI. I have mild periventricular changes in brain suggesting of microvascular ischemic changes. 2 neurologists told me it is normal part of wear and tear as we age. I have memory issues, depression and anxiety due to overthinking of my health. I want to know how long can a person live normal life with this issue? I am very afraid and anxious.
@@jakobausterlitz8102 my gaslighting began 12 years ago.....tomorrow I finally see a neurologist. Not 1st time. I have every single symptom that screams MS. MRI now says lesions in both hemispheres. Constantly fumbling,dropping stuff, eye pain, trippin on air & bumping into walls. I'm 61 now & getting real tired. Had to give up driving months ago from the vertigo....I could write a book about my experiences dealing with doctors here. 😑
I'm a 47 yr old male. I have T2 hyperintensities in white matter scatterred in both cerebral hemisperes, due to narrow blood vessels. Said it was mild chronic microangiopathic changes of the white matter in both cerebral hemisperes. I also have partial empty sella syndrom, w/ extremely low testosterone, bad panic attacks, urine retention w/ normal psa on prostate, I can't handle the heat it makes symptoms worse, especially manual labor causing fatigue, drunk feeling, slurred speech, cant handle cold either. They also found mild ventriculomegaly throughout. I was diagnosed in 2023 of Ischemic brain disease w/ white matter thats all I was told. No migraines until a month before this recent MRI that found all this other stuff. My body gets hot & then freezing. Failed the test where you put your feet together & close eyes. I immediately fell over. I get dizzy spells, dull pain on top of head, that sometimes turns into migraines. Ice pick head aches, bendover & my head will hurt. I have bad tinnitus in both ears. And sometimes my ears will go deaf for a few seconds. Ive seen flashes of light out of corner of both eyes, sometimes blobs of light like a camera flash went off. Cant read big words. Feeling off & disoriented. Nerologist I went to never came into the room on my follow up visit to explain whats going on in the mri. They were not going to tell me about my swollen ventricles, or the partial empty sella syndrom, which is secondary, because I have symptoms, nor the 7 bulged discs up & down my spine, w/ two degenerative discs. The little 20 yr old girl looked like she just graduated from med school. Was not the P.A. I recently visited w/ on my 1st visit. Told me my brain was normal for history of migraines, & Ive never had a history of migraines up until a month before the second MRI. She was hiding the other things that were found on the mri. Until I told her I have a copy of the MRI report & started asking questions. It took her by surprise. They took like 30 vials of blood from me & she said, my vitamins were low. What!? Thats all she said. I have not been able to work, my memory is bad, driving a car is a huge issue, I blacked out once in the shower. But my brain is normal. Just take tylenol & shut up because we made a crap ton of money off you. I basically got scammed by a shady nerologist. I wish i wouldve looked at her reviews. She had tons of 1 star reviews taking advantage of suffering people & giving out harmful drugs. I feel hopeless & Im getting worse. My primary doctor is a prescription writer & said, its no big deal. Dude Im 47 years old not 70. No one cares. I've had strange hiccups w/ sharp pain in my head that lasted 7 hours on & off. With neck pain after each very strong hiccup. Then, after the hiccups I was dizzy, & felt off for 3 days afterwards. I had a weird nose bleed that i hadnt had since I was a child. I dont ever get hiccups & if I do, I get rid of them in a minute. They shouldnt last 30 minutes on & off for 7 hours. Then make you dizzy & feeling off. I get RLS, bad panic attacks, I get very anxious, & urine retention. I have a knot that feels like nerves balled up that burns like hell under my left shouIder blade that spreads thru my rib cage. I guess Ill have to find another nerologist wait until after the Holidays & hope I dont have a stroke. My brain made me think i was about to get hit head on once while driving by looking in my driver side mirror. Yeah, totally normal brain.
Hi dr..have about 18 small lesions in MRI..no chol no smoking no drinking etcc Hashimoto and chronic migraines (aura too) 27 yrs. Have done so much testing cant find a cause😞I am only 47 and scared.
Without seeing the lesions, it would be hard for us to comment, however both autoimmune diseases and migraines can sometimes cause these small T2/FLAIR hyperintense lesions as shown in the video. If you have your scan and radiology report, we would be happy to make you a video report explaining your findings for you @www.mediphany.com
Few tiny T2 /flair jyperintense foci in bilateral frontal subcortical white matter without restriction diffussion..Incidental non specific white matter change versus microvascular chronic ischemic changes versus myelin related abnormality. Pls. Tell me the severity about this stage n its 100% curqble or not?
I was told from two doctor offices in my hometown the nurse's assistants told me that everybody has this brain disease and we all live with it and it's normal.
Did your mri say nonspecific white matter changes likely due to chronic micro vascular ischemic advanced for patients age? I’m 47 and just had a mri that said that
Hi i am 35 and i have it too on my MRI. I have mild periventricular changes in brain suggesting of microvascular ischemic changes. Can we be in touch ? I want to discuss it with you as i am very afraid.
I have “moderate amount of white hyperintensities” probably due to diabetes. My brain gets slower, my working and long term memory are sooooo limited. I can’t come up with words. It’s getting worse and I’m told it’s nothing.
I had an MRA Angiogram because my MRI showed up with mild chronic microvascular ischemic disease and small vessel disease. But the Radiologist looked at the angiogram and said I had very large vessels and that I had no stenosis at all or aneurysms. What could it be?
Excellent information, what part I watched. However the mood musick is unnecessary and vexing hence I did not finish... I'd suppose I can get this information somewhere else; I'd suppose I'll be finding out...
Dr. my son, took his life about a year ago. He was 49. He had a begien tumor on his pituitary gland which he was operated on but it came back and was growing...Along with this he had white matter disease and it was showing it's ugly symptoms. His forgetfulness, etc, etc...He was very sad as he'd had an operation on his back and his knees were in pain...or should I say his whole body was in pain. His marriage was not good and he felt horrifically depressed....Can you tell me more about White Matter Disease and how it pertains to my son?
Thank you very, very much; you've helped me tremendously in understanding past and recent brain and stems images. In All of the Diagnostic Reports and even their suggestions to explore the findings further, my PCP (Internal Medicine Providers) told me they were "normal," "consistent with age," and "even that there was nothing to be concerned, that his wife has the same issue." "It's not your brain & stems that is causing the headaches and very tight scalp issues. It was all caused by the suboccipital and occipital muscles," and offered opioid muscle relaxant....the galls!!
an observation: Head trauma, ingest, infections, disease, HCE, autoimmune, Migraines (but is the migraine from the stroke?), and HTN as you mention - good starting places, but one must not forget to be accurate (carotids, coagulation, hypoxia, a fib, aortic valve - as way of examples). Neuropathology will show that the damage to the blood vessels destroy the astrocytes, in turn kill the neurons. The lost oligodendrocytes, resulting in the scar - is prob a bystander. Until we have ways to judge or score the creativity/self confidence/curiosity of an individual no one can say that even a single white matter hyperintensity that is new/damage will not cause any further effects. So, if you see the MRI of a brain of a case at age 55 and they have no damage, then does this become abnormal? Because a problem is common does not make it the normal state. Stopping the damage over time from a variety of insults - many of them are able to be mitigated, is a better approach for those who want to preserve neurons. This is a wonderful review of the FLAIR images, and it is very much appreciated. More individuals need to know how important this finding is and then begin the arduous investigation being complete and accurate till they discover the etiology(s).
@mediphany What would be your opinion on a 27yo otherwise health male. Multiple T2 hyperintensity within the deep parietal and frontal white matter. Can central sleep apnea cause or be caused by these findings?
Thank you so much for this video I am a 51 year old woman who has suffered from chronic migraine who makes my whole life they want to go for a long time and then they came back that's that's what I've been scared but seeing you video and how you break it down has helped but my question is can it hurt a person later in life and can surgery to remove it be a good decision
Im a 78yr male my MRI Brain scan mentions Moderate to severe global volume loss with mild chronic microvascular ischemic change. Should I be concerned? what steps should i take for the my future? Is this the onset for dementia or Alzheimer?
dr. evan, thank you very much for your comments on microvascular ichemic disease. This is direct and easy to understand for a lay man. I have this on my mri and i am hoping it does not lead to dementia.
There are noted changes in white matter for my 24 yr old son who happens to have both Down Syndrome and a rare metabolic disorder. The report is not yet posted to our patient portal and the PCP was only able to give rather limited information. I'd like to go in to the neurologist with useful data on what is considered "normal" for an individual with Down Syndrome. Due to several chronic medical conditions, including autoimmune issues, it seems reasonable to assume that your reference to expected presentation of those spots per decade of life might be accelerated when a patient is prematurely aged by these conditions. Do you have information I can review on this or a referral to someone with experience dealing with more complex patients?
I have chronic multiple ischemia,and no neurologist will see me,even addenbrookes in UK passed message on to my doctor,wouldn't even give me a call to explain about MRI result,I had the MRI due to dizziness and visual problems I have, intermittently,have no idea what's going on,I have been abandoned by the NHS serive in UK,your video has me a little bit less worried,I feel I'm a ticking time bomb,having no follow ups,I'm so worried I've arranged my funeral,and a DNR with doctor ,I'm terrified
Can uh explain wht is chronic ischemic in bilateral frontal my father is suffer from it but I dont knw wht is it can uh tell is it serious or not plz ans
I was told i had small vessel ischemia, never heard of it. Have had chronic high b.p., migraines, high cholesterol. Finally have medicine after many years of lackluster treatments poor insurance. Mom and dad had strokes sister died of ALS.
Thank you for your clear explanation. Just got the results for an MRI which thank god came back clear. However it was noted small vessel ischaemia and obviously I became worried. This was a clear explanation. Thank you
I have a pretty straight forward question. If someone has had severe Encephalolamalacia from a 5 week coma 30 years ago. 5 years ago a MRI was done that showed significant damage to the left frontal lobe and mainly the right frontal lobe and right temporal lobe. Does this become fatal and/or when/how? Thanks. I am having confusion seizures and HIGH anxiety and severe body pain. PLEASE ANSWER ME AND I DONT KNOW HOW TO GET YOUY ANSWER 😢
I may have missed it. I was just diagnosed with moderate chronic microvascular ischemic white matter diseases . There is noted a round focus of T/2 hyper-intensity at the right midline pons. Three month needed an another MRI . My heart doctor through and the tests showed I have small vascular disease of the heart. I’m not a candidate for by pass as the blockages are all over my heart as well as the smaller vessels for stents the ends are blocked. I requested the recent MRI of my brain based on some early signs of dementia. I failed the clock test. I have word issues that I can not remember . I just turned 70 been a heart patient at age 26. I’m losing the ability to get out of bed on my own. And shake uncontrobaly sometimes. I’ve been in and out of the hospital and requested DNR. Am I jumping ahead of time
I am 52 year old female with a history of ulcerative colitis since 14 years old. I recently had a routine colonscopy (get them every 2 years). I was very sick with inflammation and bleeding. No cancer was found. I came home that night and became very sick, couldn't sleep, and brain fog. I never had any issues with the sedation. My pc sent me for a MRI and found that I had mild microvascular disease. Four doctors have told me it is from age. I don't have high blood pressure, high sugar, and high cholesterol. I do not smoke or drink. I am not overweight and try to eat healthy. I guess I am super nervous about this and my future. I am scheduled to also see a neurologist. Any help would be appreciated.
What is the correlation between white matter disease and essential tremors? I don't have any headaches but I have had and still have essential tremors that are getting worse! I used to have a pretty nice handwriting but now, it's awful handwriting....like I can barely write now. Seeing a neurologist this week but I don't want to be put on anymore medications but I might have to do it to help with these tremors.
Thanks so much for explaining..very interesting! If someone has Mild chronic small vessel ischemic changes but no symptoms and normal Blood Press./good chloes/ good health overall...is this concerning? Should we focus on the word Mild?
Thankyou! What if you’re just 24, have several spreaded non-specific punctiforme WMH? I also have positive skinbiopsy for lupus, weakpositive antidsdna with a negative ana. So they’re not sure if I have SLE. I also have had a positive IGM for Lyme disease borrelia. And I have severe dysautonomia: OI decreased cerebral bloodflow (-39%) and POTS. They can’t seem to figure it out..
Thank you for the information. What does it mean to have "fairly extensive periventricular and subcortical gliotic white matter changes, greater than normal" but with no symptoms...unspecified!
Micro white matter hyperubtebsties and had MRI after stroke symptoms. Told by cardiologist two embolic strokes. Radiologist said damage likely by ischemic aetiology, still struggling to walk and sometimes can't without two people helping
is this reversible? or repairable? Would that create any numbing or tingling in face or head or forehead? in addition to headache. I read that it may lead to blindness.
Hi sir’ could you please do me a huge favour and explain this question to me. It has had me worried sick for years. I was a very late HIV diagnosis because I was told I “ didn’t fall into the category “ and that is why I was never tested. In 2005 aged 35 I was diagnosed with Full Blown AIDS with a CD 4 count of just 60 and a Viral Load estimated at 1.3 million copies. I was eventually diagnosed after collapsing in a supermarket. After getting a brain MRI they found- Widespread white matter change and significant cerebral atrophy. Since then I have been worried sick that my brain is the size of a tennis ball and fear it getting worse obviously as I age. This will be 20 years ago coming in April 2025. Can you give me any idea how things might look just now and what the future might hold. Many thanks sir. I am in Scotland
Husband had garbled speech. Went to ER, had CT. NO diagnosis of TIA but ER doctor diagnosed TIA, although neurological exam normal. Had MRI a week later and diagnosed with this chronic microvascular ischemic change. So should I ask the TIA be removed from the record?
Hello. I am 58 years old and an MRI I had was read as excessive atrophy for age. Additionally, I had a neuroquant MRI which indicates that I in the 4th normative percentile in brain volume. Do you think this is a precursor to Alzheimer’s or some other form of dementia? Could it be an early onset dementia? I do have a few family members who had Alzheimer’s but not until they were much older. I’m not sure what to think. How concerned should I be? I can send you the films and reports. Any feedback would be greatly appreciated! Just realized I posted this on the wrong video. It should have been on the video discussing atrophy.
Thank you so much for the information. I'm wondering if there is symptoms that will let a person know if they need to go to see a doctor to get evaluated.
My report said normal except for a few hyperintensities in the front white matter, nothing elsewhere and no shrinkage and said processing speeds were normal. I have none at age 45 but the newest report says just a few hyperinintensitie. I do have migraine with aura. Is this white matter disease or just migraine damage? Should I be worried I have high blood pressure and diabetic but well controlled.
Very informative, and since I haven’t yet seen my MRI taken last Friday, helpful to interpret the viewed Radiologist’s report that had me pretty concerned.
I have had these on my MRI for many years, but the last MRI I had also said probable lucunar infarction. What does that mean and is it cause for concern?
Do you have any information on cerebral cavernous malformations. I find most doctors do not know what, ccm, is. It has affected 26 people in multiple generations in my family, probably more. I myself discovered i have ccm, and id like to understand it more.
Currently, we are transitioning into providing video reports through partners in the healthcare industry. However, we can still offer individual reports for patients that register with us. They range from $95-150 depending upon turn-around time requested as of April of 2023. Pricing may change in the future.
Why is my husband having severe issues since being told he has this then. He literally went from a hard working man to barely able to function. Lost jobs, severe vertigo, memory loss, taste changes, ect. It is horrible!
These findings may or may not be related to your husbands symptoms and should be correlated by a neurologist. There are many different causes of the symptoms you describe which can include prior infection/inflammation or trauma. As mentioned in the video, long-standing hypertension and elevated cholesterol can result in the brain findings and may or may not cause symptoms.
Can vascular dementia be genetic? The maternal side of my family has a very high incidence of it. I had a recent MRI that showed mild scattered subcortical deep white matter and periventricular T2/FLAIR hyperintensities within the pons.......nonspecific white matter changes involving the bilateral cerebral hemispheres and pons likely on the basis of chronic small vessel ischemic disease.
Couldn’t this demyelination of the axons also be caused by extreme lack of cholesterol, often caused by excessive dosing of statins? I had a friend on statins with a total cholesterol of 139. I warned him that was way too low. In less than 4 months he had 3 strokes and died. I’ve also heard gluten can cause white matter lesions of the brain.
That's terrible. So sorry your friend didn't heed your warning. I've researched and statins are one of the worst things to give. Eating what is chemical free and healthy (lots of veggies) can lower cholesterol naturally. My mom had 166 of BAD LDL(total was over 200) and it went down to 116 at one time. So back to making smoothies which I think helped. Now gonna add veggies to them. Besides declarative prayer with God's promises in the bible, eating smart is better than taking all these drugs.
my mri said mild microvascular disease, though slightly advanced for age. I am 55 and also have slightly raised cholesterol and severe migraines, at least that's what I call them. I see no lights, light doesn't bother me; when they hit it's unbearable pressure in my head and eyes, feels like my head will explode. It's makes me feel I might have a stroke. I cannot pick upon move my head the pain is so severe. I also have cholesterol deposits around my eyes the entire orbital my mri said; xanthalasma but it's not visible externally. I'm worried about vascular dementia. My father had LBD. It's terrifying and my GM had a sudden death at 52 in her sleep. We don't know why, but she had hypertension and smoked. My mother has uncontrollable high BP, mine is ok. Can you weigh in on my situation, and if my mild microvascular disease is slightly raised for age, how many might we be talking about (white highlights?) If 40 would have 4-5, how many should a 55 year old have and what might be a slightly elevated amount? Thank you!
Thanks Dr this is my report I just recieved but have no clue what it means. I have pain in hands little numbness in face at times and stiff body in mornings. Can anyone help me understand my report please. Multiple hierintena punctate foacular lesions in Flai and T2 in the white matter subcortival and microangiopathic appearance. The brainstem does not present signal alterations. No restrictive effects are evident in the brain diffusion sequence. CONCLUSION: Microangioopathic lesions
Excellent! Exactly what I was looking for. I am a registered nurse just told I have increased amount of white matter. This explanation beautifully and completely and clearly presents the information as well as the pictures. Thank you.
Extra white matter? As an RN, you know better than that. White matter hypertintensities. Do you have symptoms??
thank you for this...I was just dx by Neurologist and later went to my PCP and he laughed at me and told me EVERYONE has this and its nothing to be concerned about...He gave me a very hard time and I left there crying w/ BP through the roof.....I have a history of Migraines & hypertension ..I am typing this with a eeg in home monitor on for 4 days.....My Neurologist also scheduled for PET scan....My PCP was laughing telling me I dont need to change my diet or anything...cause having this is normal, im a 71 yr old (young looking and feeling lady ??? Cant understand why the primary care Dr was sooo careless with me about this...but what you have said is exactly what the Specialist Neurologist told me and family???
My mom has this supposedly, vascular dementia but my sisters took her to the neurologist and I think this is what they saw on whatever imaging test they did. I understand your PCP's point in a way because eventually many will also show heart disease and gum disease too but that doesn't mean you don't do what you can to prevent it from ruining your life prematurely if you can "fight back" and keep yourself in as good of shape as possible for as long as possible. Let me know what you find out and do etc?
Talia, my experience is exactly the same except my chronic migraines stopped about 10 years ago. My pain & rehab specialist diagnosed this but my two gps ( we moved) couldn’t see that I was worried about it. My Faseka score was 2 indicating progressive or malignant processes. It’s frustrating!
You need a new primary
@@CrankyGrandma i agree ....and Im looking for one already lol
Listen the system doesn’t care they want you to die so you can’t collect social security the government wants all
Boomers gone
Tyvm You are doing a great public service. Many of us are scared, confused and our lives are a living hell bc we are worried. I appreciate your videos. Thank you dear.
I'm scared also. At 62 I'm losing too much memory.
You did an excellent job at explaining id of explaining this. The speed in which you speak and the tone are perfect. Sometimes it's not always easy to understand people when they talk fast or too loud or too soft.
I was just diagnosed with Cerebral Small Vessel Disease because of a brain MRI that I had with and without contrast. I definitely have symptoms. That is what brought about getting the MRI. For a couple or more years I have been very forgetful but in the past maybe last year I see a big cognitive decline with a lot of confusion. Sometimes I can be standing in a group that is talking and I can hear them perfectly but I cannot understand what they are saying. I am a constant reader and always have been but lately I am having a lot of trouble reading. As I finish off reading the last half of the sentence, I cannot make any sense of it because I have already forgotten what the first half of the sentence was about.
Sometimes, I just cannot make sense of the information that the person is trying to give me. I have never been a big drinker when I was young and I don't drink at all anymore. Not that I ever drank a lot to start with. I am one of those people who just can't stand the taste of alcohol. I get that "tip of the tongue" phenomenon. An example is not being able to recall a friend that I have known forever. I am also saying things to people that in the past I would never have said out loud.
I used to be really liked and I has had a fun time wherever I go. However now, since depression set in about 10years ago with anxiety. I can't work and I only leave my house in I have a doctor's appointment. Im 55 yrs old and after all these years of driving, I suddenly hate to drive and am very nervous doing it. I lean against my wall when I am coming down the stairs because I feel like it i don't , I will fall down the stairs. I no longer have fun doing anything. I don't like to socialize and my immediate family hates me (husband and three 22 yr olds).
I was hoping you could do a video on other diseases that this can lead into like for instance Frontal Lobe dementia or maybe it's called Frontal Temporal Lobe Detention along with other disease that this might turn or progress into. I was also wondering in general how long it took to lose your mind completely and what the average life scan generally is. I need to do a lot of preplanning because of how poorly my family treats me. I understand that some people don't want to know but I absolutely need to know or I am going to die in this house of abuse because pretty soon I will no longer be able to protect myself and speak up or maybe not even know right from wrong. I am my only advocate for myself.I am sure that that family will just leave me laying in pooh if it ever comes to that.
I would also like a little more information on the disease covered. For instance, what type of things that are ingestion that can cause this. And if you are having brain tissue dying in your head, is it possible that this is happening to some degree all over my body. Is there anyway to grow neurons back? Would exercise bring on new brain cells or just maybe improve the ones that are still there? I have read many articles on depression which seems to be optimistic about growing new cells or maybe they were just talking about improving old ones. I am kind of bitter because I would spend my entire day for years reading and doing online courses, reading new things, working on learning new languages everyday but The MRI said when adjusted for age, my brain volume is in the lower 20 percentile. They also names a couple of specific brain areas that were also shrinking away
I realize that you are not a substitute for my own doctor but the extra education would be so much help and so appreciated. I forgot to mention that I also have compete blackouts. Meaning that say two days ago I went to a doctor's appointment but two days later I will see it on my calendar and panic because I missed the appointment when if fact I did go but have absolutely no memory of it happening. Sometimes I will for forget an event or something I said and when someone mentions it I will vaguely remember it but with the blackouts I absolutely remember nothing. No matter what the person says to me to try to get me to remember. That scares me. I don't know how drunk people do that to themselves.
My gosh dude you wrote a darn book here 😮
I am suffering with the same illness and it seems that nobody cares. But I am afraid of how I feel because only us can feel it .
The background music is nice but is too disruptive for me to concentrate on what you are presenting.
Thanks 😊. Just diagnosed from this disease. Last July falling to left, no balance, loss of speech , confusion and couldn't write or spell . Ambulanced twice within 3 weeks. I was Quoted Tias mini strokes. Placed on high doses of Statin. My cholesterol was 4 times higher which my family Dr known for 4 years . I complained about migraines and confusion 3 years ago. Had mri and he quoted all normal. After July had ultrasound and Mri . Shown left carotid blockage 70 % and right 50 %. Nero and cardiologist taken my case. Placed high doses of Stain to bring down inflammation and aspirin.. I had a different episode last January. Left shoulder to hand numb and no balance. Mri again. They called a specialist in to see me. He told me I have spots everywhere in my brain and had this problem since mri 3 years ago. WTH??? I said "why nobody mentioned this to me ?" He said "They probably thought my family Dr told me all this time. Go home and take higher doses of statin and another med and be close to your family. "I was in total shock and broken down. I just checked on info just now as taking Ritriptan for migraines. This is my 13 th pill 💊. I have flares back and forth . Question why I'm hypotension then hypertension back and forth. Heart rate average always 90 to 135. ? No point to be treated either way for that issue. My cholesterol is back to normal since September but the specialists said not yet to bring down med . Prevestatin 80 and plus another . I dropped them as to drugged up . My balance, speech, not as confused and my writing almost normal. My spelling still an issue. Stroke department kept saying I'm to young having this problem as mid 50s. This should be in late 80s. But its Genetic from my mothers side .
I am in the same boat, diagnosed with mild CVSD. I have no blood pressure issues and my calcium score is wonderful. I have anxiety and some depression. Been having some pretty concerning balance problems as well as noticeable cognitive functions ,but not severe. 56 years old when diagnosed, I'm 59 now.
@@dlambethful sorry for delay . Just seen your comment. I'm not able to take the high doses of Statin as I'm to confused. I do take 20 mg and aspirin daily . My blood pressure still goes to high or low. Now dealing again with anemia . This is an ongoing problem since a child. Honestly I'm living without any care about my health as the damage is done and nothing they can do for me as blockages to close to the brain. I live day by day. I'm totally fedup of Drs Honestly. I'm in Canada and Healthcare is so slow here . Takes 3 years to see a speacist or MRI. I dumped the stroke department as no transportation. I had take care of myself
How are you doing? I’m grateful you sent this comment, I feel alone.
Statins are extremely dangerous.. change your diet. These covid jabs have caused so many issues!!
You still can write well. Keep doing that.
Can you have blurry vision with this . Iam getting concerned. I had a CT scan due to a bump that I hit my head on a granite countertop. My scan was Chronic Microvascular Ichemic vessel changes .
Thank you, Doctor Evan. This is by far the simplest and most forthright explanation I have been able to find in its detail and in simpler terms that we patients can understand and use for further testing and/or lifestyle changes. God bless you in your specialty.
Thank you sooo much! I have seen 3 different Neurologist. One retired, one closed his practice and now seeing the best in my area. Also seeing neuro opthmologist because of vision issues. You have explained this better than any of them! I’m very knowledgeable about medical issues and I get the impression that the doctors I’ve seen don’t think I’ll understand if they use medical terminology with me! It’s so frustrating! My neuro ophthalmologist is awesome though! He goes into great detail and spends a lot of time with me at appts. Thanks again for this info!!
thank you so much, Dr Evan. Very calming voice, but what's more, what you had to say about how common this condition is was quite reassuring. I can now relax a bit, at least until I see my neurologist next week. I'd been a bit depressed and nervous since yesterday when I read the results of my MRI the day prior on my patient portal.
Excellent video and explanation of MRI results and in depth understanding of the situation. The X-rays were extremely helpful, thank you! 2:08
One of the best explanations ever - thank you. My MRIs have shown these from the time I was in my 40's and the report always said one of three things MS, Vasculitis, or Ischemic vessels. Since then and as I have aged, the subsequent reports just say due to my age, they would call it ischemic with no longer regarding MS leading all the docs to no longer consider MS or other demylinating (SP) diseases even though I have had vague symptoms MS type symptoms ever since my 40's just undiagnosed. Am I justified in being upset that now that I am older (65) it doesn't matter what my earlier reports indicated? One thing I would change on your videos is to remove the background music.
True
I have had the same experience, and frankly, I am tired of everything that has bothered me for 20 years being written off to my age, especially since turning 65 a couple of years ago. So numbness in extremities on one side, fatigue since my 30s, intermittent waves of having balance issues, heat intolerance, and joint and muscle pain are all dismissed since I am a couple of years older. It's discriminatory.
@@dancingflowers2001
Please be safe, if you don’t trust one doc go to another. Just ask them to do complete blood work, review it yourself, look it up. Sometimes they focus more on your insurance vs healthcare.
Background music was soothing, keep it 😊
@@dancingflowers2001•Do a full blood panel my GP is actually good 👍🏾 I have had the bad & the ugly !So I am on to the good I also am similar age I was really Deficient on D3 /Anaemia plus am still (Up /Down all over the place with my Sodium?Makes no sense fluid restrictions makes my kidneys feel like they have died and passed away personally I nearly had a nervous breakdown!Try really healthy diet ?But I would change GP get someone to advocate for you ?I couldn’t even remember exactly what he had said “By the time I came out !”I to can only text this has been since 2016?This apparently incidental finding😭😭After I nearly had nervous meltdown on the spot ,i delegated to my brother my B/P is low ?My Mum died of blood clot very suddenly at very young age (Apparently mine is possibly Prolonged use of Epilepsy Medication?)An incidental finding after I nearly had on the spot mental breakdown-Told him Euthanise me if it’s dementia pls do not tell me tell my brother not me as my Mums/Mum my Grandma’ all 4 of her sisters died of it ..😭😵💫I am none the wiser I should think it’s shrunk more with the stress of the incidental finding on my spine as I had ongoing numbness (I was catching everything going ,I already had a brain injury but this is worse )I feel like I am having to use it or loose it (Including the plot )Ophthalmology referred me to Neurologist pre my brain MRI as I was all over the shop falling over headaches and (My vision changed what I thought was a headache,blurred vision was my eyes working separately but not together ..)They keep saying something is autoimmune so next stop is urgent appointment with Endocrinologist…I shall update you in 2 Years when I get the appointment if I remember also (Try setting alarms /On a phone for food to eat !In case you forget ?)I have had to get laminated labels for my cupboards -Meds in a box .I keep forgetting money it’s like loosing the plot prior to this but knowing you have ?
Good info! I zeroed in on your comment about "most MRIs" showing this result. At first I thought it implied that most of the general population has this condition. Then I realized that getting an MRI in the first place only happens to the population having some symptom(s). In my case - 63 and have impaired balance, frequent/urgent urinary, and unable to multi-task along with some diminished focus. PC ordered MRI - which showed "mild to " Chronic Microvascular Ischemic disease. It is the MODERATE word that scares me. After next visit with my PC about the outlook, I plan to aggressively research how to keep the M-word from becoming any worse. So far, the bottom line seems to be about controlling BP and pre-diabetes (for me). Thanks again!
Thank you I have this. White matter disease. I have a long standing history of severe hypertension and I did have migraines at Puberty and menopause. My internist told me that mine were mostly caused by age. I am 76.
can you please provide your email to discuss this as I feel the same?
I have white matter degeneration on my mri at 74 .now 75 was having dizziness and have pressure and heavy heads also stops me doing anything ( came on suddendly mid 23.so upsetting
I have had High BP also
Excellent presentation. You should teach a class on this to ER physicians. 😊
Thank you for this video and great explanation. My latest MRI has mild white matter changes written in the report and now I know what to look for on the images. Of course my doctor hasn't even looked at the report or images from 6 months ago, retired on me, and I have to be my own internet doctor. Subscribed...!
Thank you for explaining to us about this matter. it relieves our anxieties and fear on this subject.
Thank you Dr. Evan for posting this very informative and well presented video. It is a very caring thing to do ❤. A new diagnosis like this can be very confusing and alarming for people.
Im a 62 year old male in decent physical condition. Ive had lung sarcoidosis for 30 years, and cardiac sarcoid for about 2 years. Currently doing well with monthly infliximab infusions and heart meds to regulate irregular beats. I also have an implanted defibrillator/pacemaker, which I havent had to use yet, thankfully. My major with out contrast was to check for neuro sarcoid and it detected moderate ischemic disease. My cholesterol is a little out of normal range but the docs are not concerned about it. Im watching my diet, and we're retesting blood in 2 months.ive also been diagnosed with a weak swallow so the test was done to rule out other neurological conditions. Ive had the swallowing issue my whole life though it was officially diagnosed with a test this year. Otherwise feel ok i guess. I work full time as a line cook, lots of multitasking, memory intensive work. No problem except i tire easier than i did 20 years ago. Ill bet that goes for most people. Im looking to gwt the mri evaluated by a neurologist and working with my rheumatologist to do that. Its scary for sure. But i just push on like i always have. Thanks
What about concussions? Also, what about COVID/LONG COVID?
@sabeaver9677. Agree what about long covid from covid infection & vax. I'm seeing a MS specialist tomorrow based on MRI findings. 🙏🙏🙏 & God Bless everyone!!!!! The symptoms r unbearable since 2020 but also feel mild symptoms began over 20 yrs ago im now 52 female-🫶🫶🫶
Thank you. Excellent clear explanation and illustration. FYI the speedy clicking through different levels was somewhat hard to follow visually.
Ty for your explanation. I got this result from my MRI 2 days ago and it’s worrisome. You made me feel better. I don’t have HTN, diabetes not high cholesterol but am on aspirin regimen for high platelets count. I lost taste and smell prior to covid that’s what prompted my ENT doctor for an MRI. But I tell you though I will need to focus on taking care of myself. Ty so much!
Thank you very much Dr. Evan for posting this video! Question - looking at MRI scan, how do you distinguish between white matter disease and MS ?
Lision size and shape and location
Hi Dr. Even. Thank you so much for this video, I feel like I’ve understood a little more than my doctors have told me.
I have problems walking properly since 2018, over time my hamstrings muscles tend to tighten up which makes normal lifting my leg when walking very difficult and painful. I also have incoordination problems.
I did an MRI in 2020 & the findings were:
- MRI examination reveals few small focal T2/FLAIR white matter hyperintesities largest of 6X4mm which is perpendicular to longitudinal margin of the body of right lateral ventricle and in left 4mm in frontoparietal region and a hyper intense focus of 8X6mm in left temporoparietal region. No restricted diffusion in DWI and no enhancement following contrast...
-
IMPRESSION:
* Few small focal T2/ FLAIR white matter hyperintensities with perpendicular to longitudinal margin of body of lateral ventricle and one in left temporoparietal region.
Differentials:
1. Chronic small vessel ischaemia.
2. Demyelination (in view of the incordination while walking).
* Rest of the brain parenchyma is within normal limits.
I was given a prescription of aspirin for about 3 months (half & full daily doses)
My leg problem has become very bad over the years and now it’s impossible for me to walk 50 meters without needing to stop and rest.
My legs just don’t lift up!
KINDLY ADVISE 🙏🏾
Spine MRI too, or did they stop with your head?
Hey, thanks for your response 😊
Yes -
* Lumbar MRI - muscle spasms
* Cervical spine MRI - Cervical lordosis is reversed & muscle spasms
* Nerve conduction study - normal.
Impression from a rheumatologist & neurosurgeon is either multiple sclerosis/ lupus/ dermatomyositis/ polymyositis
So 🤷🏽♀️
I’ve run out of funds to do more tests eg. EMG etc….
Be far the best explanation provided. Thank you for that, it really make a difference for a lot of people ❤
Love your content. Retired pharmacist trying to understand my 79 y/o aunt's findings. Nice to have a little understanding prior to meeting
with her PCP. Thank You.
Bless you Dr. Evan. Your explanation is worth its weight in gold. I will look for more of you easy to understand education. How do we find you for consult?
Thanks for the explanation. I will meet with my primary care physician soon. I had my MRI yesterday.
How can a person keep neurons and axons healthy? I too have white matter change and small vessel ischemia
The best way to keep them healthy is the same as keeping any part of your body healthy - exercise, good diet, no hypertension or high cholesterol, no smoking, limited alcohol, etc.
That being said, some people will still end up with some white matter disease based upon normal aging and/or their genetics.
Great 👍 presentation on what to hear or what a person should hear from a doctor’s perspective on a brain MRI.
I am allergic to contrast dye, so, can you show the difference between MRI’s with or without dyed images.
Thank you,
DJM
Can an MRI read chronic T2 hypersensitivities in the supratentorial WM & migrainous angiopathy without it being concerning- with only POTS & adhd ad hx?
Hi i am 35 and i have it too on my MRI. I have mild periventricular changes in brain suggesting of microvascular ischemic changes. 2 neurologists told me it is normal part of wear and tear as we age. I have memory issues, depression and anxiety due to overthinking of my health. I want to know how long can a person live normal life with this issue? I am very afraid and anxious.
Doesn't seem normal does it? You've been gas lit.
@@jakobausterlitz8102 my gaslighting began 12 years ago.....tomorrow I finally see a neurologist. Not 1st time. I have every single symptom that screams MS. MRI now says lesions in both hemispheres. Constantly fumbling,dropping stuff, eye pain, trippin on air & bumping into walls. I'm 61 now & getting real tired. Had to give up driving months ago from the vertigo....I could write a book about my experiences dealing with doctors here. 😑
I'm a 47 yr old male. I have T2 hyperintensities in white matter scatterred in both cerebral hemisperes, due to narrow blood vessels. Said it was mild chronic microangiopathic changes of the white matter in both cerebral hemisperes. I also have partial empty sella syndrom, w/ extremely low testosterone, bad panic attacks, urine retention w/ normal psa on prostate, I can't handle the heat it makes symptoms worse, especially manual labor causing fatigue, drunk feeling, slurred speech, cant handle cold either. They also found mild ventriculomegaly throughout. I was diagnosed in 2023 of Ischemic brain disease w/ white matter thats all I was told. No migraines until a month before this recent MRI that found all this other stuff. My body gets hot & then freezing. Failed the test where you put your feet together & close eyes. I immediately fell over. I get dizzy spells, dull pain on top of head, that sometimes turns into migraines. Ice pick head aches, bendover & my head will hurt. I have bad tinnitus in both ears. And sometimes my ears will go deaf for a few seconds. Ive seen flashes of light out of corner of both eyes, sometimes blobs of light like a camera flash went off. Cant read big words. Feeling off & disoriented. Nerologist I went to never came into the room on my follow up visit to explain whats going on in the mri. They were not going to tell me about my swollen ventricles, or the partial empty sella syndrom, which is secondary, because I have symptoms, nor the 7 bulged discs up & down my spine, w/ two degenerative discs. The little 20 yr old girl looked like she just graduated from med school. Was not the P.A. I recently visited w/ on my 1st visit. Told me my brain was normal for history of migraines, & Ive never had a history of migraines up until a month before the second MRI. She was hiding the other things that were found on the mri. Until I told her I have a copy of the MRI report & started asking questions. It took her by surprise. They took like 30 vials of blood from me & she said, my vitamins were low. What!? Thats all she said. I have not been able to work, my memory is bad, driving a car is a huge issue, I blacked out once in the shower. But my brain is normal. Just take tylenol & shut up because we made a crap ton of money off you. I basically got scammed by a shady nerologist. I wish i wouldve looked at her reviews. She had tons of 1 star reviews taking advantage of suffering people & giving out harmful drugs. I feel hopeless & Im getting worse. My primary doctor is a prescription writer & said, its no big deal. Dude Im 47 years old not 70. No one cares. I've had strange hiccups w/ sharp pain in my head that lasted 7 hours on & off. With neck pain after each very strong hiccup. Then, after the hiccups I was dizzy, & felt off for 3 days afterwards. I had a weird nose bleed that i hadnt had since I was a child. I dont ever get hiccups & if I do, I get rid of them in a minute. They shouldnt last 30 minutes on & off for 7 hours. Then make you dizzy & feeling off. I get RLS, bad panic attacks, I get very anxious, & urine retention. I have a knot that feels like nerves balled up that burns like hell under my left shouIder blade that spreads thru my rib cage. I guess Ill have to find another nerologist wait until after the Holidays & hope I dont have a stroke. My brain made me think i was about to get hit head on once while driving by looking in my driver side mirror. Yeah, totally normal brain.
This all sounds like symptoms of autonomic dysfunction.
Hi dr..have about 18 small lesions in MRI..no chol no smoking no drinking etcc Hashimoto and chronic migraines (aura too) 27 yrs. Have done so much testing cant find a cause😞I am only 47 and scared.
Without seeing the lesions, it would be hard for us to comment, however both autoimmune diseases and migraines can sometimes cause these small T2/FLAIR hyperintense lesions as shown in the video. If you have your scan and radiology report, we would be happy to make you a video report explaining your findings for you @www.mediphany.com
Few tiny T2 /flair jyperintense foci in bilateral frontal subcortical white matter without restriction diffussion..Incidental non specific white matter change versus microvascular chronic ischemic changes versus myelin related abnormality. Pls. Tell me the severity about this stage n its 100% curqble or not?
Hi doctor thank u for.making this video. I'm 38 yrs old just found out I have scattered mild chronic microvascular ischemic disease of brain .
I was told from two doctor offices in my hometown the nurse's assistants told me that everybody has this brain disease and we all live with it and it's normal.
Did your mri say nonspecific white matter changes likely due to chronic micro vascular ischemic advanced for patients age? I’m 47 and just had a mri that said that
Hi i am 35 and i have it too on my MRI. I have mild periventricular changes in brain suggesting of microvascular ischemic changes. Can we be in touch ? I want to discuss it with you as i am very afraid.
Does it show confluent in mri ? .I have ischemic changes in bilateral paraventricular white matter
Connect with me too am 32
How long a person can live with mild chronic ishemaic changes in brain?? I am 35 and my MRI show this ?
5 to 10 years.
I'm looking at my moms mri and I see very large bright white areas, I'm very concerned now. Can I send it to you?
I have “moderate amount of white hyperintensities” probably due to diabetes. My brain gets slower, my working and long term memory are sooooo limited. I can’t come up with words. It’s getting worse and I’m told it’s nothing.
Same here!
I had an MRA Angiogram because my MRI showed up with mild chronic microvascular ischemic disease and small vessel disease. But the Radiologist looked at the angiogram and said I had very large vessels and that I had no stenosis at all or aneurysms. What could it be?
Dr Evan, would you please do a video on, “Generalized Brain Atrophy.”
Excellent information, what part I watched. However the mood musick is unnecessary and vexing hence I did not finish... I'd suppose I can get this information somewhere else; I'd suppose I'll be finding out...
Wish your video did not have distracting music going.
Dr. my son, took his life about a year ago. He was 49. He had a begien tumor on his pituitary gland which he was operated on but it came back and was growing...Along with this he had white matter disease and it was showing it's ugly symptoms. His forgetfulness, etc, etc...He was very sad as he'd had an operation on his back and his knees were in pain...or should I say his whole body was in pain. His marriage was not good and he felt horrifically depressed....Can you tell me more about White Matter Disease and how it pertains to my son?
Is there a reason for this to show on three different head CT scans but when I had an mri it wasn’t seen?
Excellent Video...Thank You! And Very Easy To Follow......
Thank you very, very much; you've helped me tremendously in understanding past and recent brain and stems images. In All of the Diagnostic Reports and even their suggestions to explore the findings further, my PCP (Internal Medicine Providers) told me they were "normal," "consistent with age," and "even that there was nothing to be concerned, that his wife has the same issue." "It's not your brain & stems that is causing the headaches and very tight scalp issues. It was all caused by the suboccipital and occipital muscles," and offered opioid muscle relaxant....the galls!!
Hi
Hi
Hi Dr Evan, what does it mean if the CAT scan shows flakes all over the brain? We were told to get an MRI immediately. What would cause these flakes?
an observation: Head trauma, ingest, infections, disease, HCE, autoimmune, Migraines (but is the migraine from the stroke?), and HTN as you mention - good starting places, but one must not forget to be accurate (carotids, coagulation, hypoxia, a fib, aortic valve - as way of examples). Neuropathology will show that the damage to the blood vessels destroy the astrocytes, in turn kill the neurons. The lost oligodendrocytes, resulting in the scar - is prob a bystander. Until we have ways to judge or score the creativity/self confidence/curiosity of an individual no one can say that even a single white matter hyperintensity that is new/damage will not cause any further effects. So, if you see the MRI of a brain of a case at age 55 and they have no damage, then does this become abnormal? Because a problem is common does not make it the normal state. Stopping the damage over time from a variety of insults - many of them are able to be mitigated, is a better approach for those who want to preserve neurons. This is a wonderful review of the FLAIR images, and it is very much appreciated. More individuals need to know how important this finding is and then begin the arduous investigation being complete and accurate till they discover the etiology(s).
@mediphany
What would be your opinion on a 27yo otherwise health male.
Multiple T2 hyperintensity within the deep parietal and frontal white matter.
Can central sleep apnea cause or be caused by these findings?
Same
Thank you so much for this video I am a 51 year old woman who has suffered from chronic migraine who makes my whole life they want to go for a long time and then they came back that's that's what I've been scared but seeing you video and how you break it down has helped but my question is can it hurt a person later in life and can surgery to remove it be a good decision
Thank so much for your teaching. I often encounter this in brain MRI reports. Now I understand its importance.
Thanks Dr, Evan. In an MRI report what is the difference between IMPRESSION and FINDINGS?
Thank you for your detailed explanation
Im a 78yr male my MRI Brain scan mentions Moderate to severe global volume loss with mild chronic microvascular ischemic change. Should I be concerned? what steps should i take for the my future? Is this the onset for dementia or Alzheimer?
Excellent presentation!! Thank you so much.
dr. evan, thank you very much for your comments on microvascular ichemic disease. This is direct and easy to understand for a lay man. I have this on my mri and i am hoping it does not lead to dementia.
How's it going? Ever get a diagnosis?
There are noted changes in white matter for my 24 yr old son who happens to have both Down Syndrome and a rare metabolic disorder. The report is not yet posted to our patient portal and the PCP was only able to give rather limited information. I'd like to go in to the neurologist with useful data on what is considered "normal" for an individual with Down Syndrome. Due to several chronic medical conditions, including autoimmune issues, it seems reasonable to assume that your reference to expected presentation of those spots per decade of life might be accelerated when a patient is prematurely aged by these conditions. Do you have information I can review on this or a referral to someone with experience dealing with more complex patients?
I had SSNH loss (hearing), balance and memory problems. Can you explain the correlation of the Fazekas Level?
My hyperinstsity mainly were around the horns of the periventricular. One probably about 6 mm in frontal left. It appeared well rounded.
That was so informative. Thank you!
I have chronic multiple ischemia,and no neurologist will see me,even addenbrookes in UK passed message on to my doctor,wouldn't even give me a call to explain about MRI result,I had the MRI due to dizziness and visual problems I have, intermittently,have no idea what's going on,I have been abandoned by the NHS serive in UK,your video has me a little bit less worried,I feel I'm a ticking time bomb,having no follow ups,I'm so worried I've arranged my funeral,and a DNR with doctor ,I'm terrified
Can uh explain wht is chronic ischemic in bilateral frontal my father is suffer from it but I dont knw wht is it can uh tell is it serious or not plz ans
Are you still dizzy am suffering from it bad for 17months doctors dont have answers
I was told i had small vessel ischemia, never heard of it. Have had chronic high b.p., migraines, high cholesterol. Finally have medicine after many years of lackluster treatments poor insurance. Mom and dad had strokes sister died of ALS.
Ty so much!!!
I was just diagnosed with white matter hyperintensities
So happy I found this
Are there treatments for early stages of this disease?
Thank you for your clear explanation. Just got the results for an MRI which thank god came back clear. However it was noted small vessel ischaemia and obviously I became worried. This was a clear explanation. Thank you
Please what is fazekas grade 1
Thank you, your explanation was very helpful in me understsnding what I am dealing with. Blessings.
I have a pretty straight forward question. If someone has had severe Encephalolamalacia from a 5 week coma 30 years ago. 5 years ago a MRI was done that showed significant damage to the left frontal lobe and mainly the right frontal lobe and right temporal lobe. Does this become fatal and/or when/how? Thanks. I am having confusion seizures and HIGH anxiety and severe body pain. PLEASE ANSWER ME AND I DONT KNOW HOW TO GET YOUY ANSWER 😢
I may have missed it. I was just diagnosed with moderate chronic microvascular ischemic white matter diseases . There is noted a round focus of T/2 hyper-intensity at the right midline pons. Three month needed an another MRI . My heart doctor through and the tests showed I have small vascular disease of the heart. I’m not a candidate for by pass as the blockages are all over my heart as well as the smaller vessels for stents the ends are blocked. I requested the recent MRI of my brain based on some early signs of dementia. I failed the clock test. I have word issues that I can not remember . I just turned 70 been a heart patient at age 26. I’m losing the ability to get out of bed on my own. And shake uncontrobaly sometimes. I’ve been in and out of the hospital and requested DNR. Am I jumping ahead of time
Please turn off the background music. I cannot do two things well at the same time- 1) listening to the annoying "music" and 2) your teaching session!
I agree
I agree too, too loud while talking 😡
Agreed
If this free info bothers you move on.
Turning Closed captions on helps.
I am 52 year old female with a history of ulcerative colitis since 14 years old. I recently had a routine colonscopy (get them every 2 years). I was very sick with inflammation and bleeding. No cancer was found. I came home that night and became very sick, couldn't sleep, and brain fog. I never had any issues with the sedation. My pc sent me for a MRI and found that I had mild microvascular disease. Four doctors have told me it is from age. I don't have high blood pressure, high sugar, and high cholesterol. I do not smoke or drink. I am not overweight and try to eat healthy. I guess I am super nervous about this and my future. I am scheduled to also see a neurologist. Any help would be appreciated.
this can be also caused by covid, im 33 and mRi showed 10-12 lesions 0,2-0,25 cm in size
@@nickvw9663is there a way I could contact you. I have questions. I feel like I don’t start having issues until I caught Covid 12/23
@@nickvw9663are you having any symptoms
What is the correlation between white matter disease and essential tremors? I don't have any headaches but I have had and still have essential tremors that are getting worse! I used to have a pretty nice handwriting but now, it's awful handwriting....like I can barely write now. Seeing a neurologist this week but I don't want to be put on anymore medications but I might have to do it to help with these tremors.
Thanks so much for explaining..very interesting! If someone has Mild chronic small vessel ischemic changes but no symptoms and normal Blood Press./good chloes/ good health overall...is this concerning? Should we focus on the word Mild?
Thankyou! What if you’re just 24, have several spreaded non-specific punctiforme WMH?
I also have positive skinbiopsy for lupus, weakpositive antidsdna with a negative ana. So they’re not sure if I have SLE.
I also have had a positive IGM for Lyme disease borrelia.
And I have severe dysautonomia: OI decreased cerebral bloodflow (-39%) and POTS.
They can’t seem to figure it out..
How could I get you to analyze my MRI results(CD), in the form of a video?
Thank you for the information. What does it mean to have "fairly extensive periventricular and subcortical gliotic white matter changes, greater than normal" but with no symptoms...unspecified!
Micro white matter hyperubtebsties and had MRI after stroke symptoms. Told by cardiologist two embolic strokes. Radiologist said damage likely by ischemic aetiology, still struggling to walk and sometimes can't without two people helping
is this reversible? or repairable?
Would that create any numbing or tingling in face or head or forehead? in addition to headache.
I read that it may lead to blindness.
Hi sir’ could you please do me a huge favour and explain this question to me. It has had me worried sick for years. I was a very late HIV diagnosis because I was told I “ didn’t fall into the category “ and that is why I was never tested. In 2005 aged 35 I was diagnosed with Full Blown AIDS with a CD 4 count of just 60 and a Viral Load estimated at 1.3 million copies. I was eventually diagnosed after collapsing in a supermarket. After getting a brain MRI they found- Widespread white matter change and significant cerebral atrophy. Since then I have been worried sick that my brain is the size of a tennis ball and fear it getting worse obviously as I age. This will be 20 years ago coming in April 2025. Can you give me any idea how things might look just now and what the future might hold. Many thanks sir. I am in Scotland
Husband had garbled speech. Went to ER, had CT. NO diagnosis of TIA but ER doctor diagnosed TIA, although neurological exam normal. Had MRI a week later and diagnosed with this chronic microvascular ischemic change. So should I ask the TIA be removed from the record?
Hello. I am 58 years old and an MRI I had was read as excessive atrophy for age. Additionally, I had a neuroquant MRI which indicates that I in the 4th normative percentile in brain volume. Do you think this is a precursor to Alzheimer’s or some other form of dementia? Could it be an early onset dementia? I do have a few family members who had Alzheimer’s but not until they were much older. I’m not sure what to think. How concerned should I be? I can send you the films and reports. Any feedback would be greatly appreciated! Just realized I posted this on the wrong video. It should have been on the video discussing atrophy.
My appointment isn’t until end of April. Can you tell me what your thoughts of my scans if I can send them. I’m panicking
Great Video and presentation. Thank you for information.
Thank you so much for the information. I'm wondering if there is symptoms that will let a person know if they need to go to see a doctor to get evaluated.
My report said normal except for a few hyperintensities in the front white matter, nothing elsewhere and no shrinkage and said processing speeds were normal. I have none at age 45 but the newest report says just a few hyperinintensitie. I do have migraine with aura. Is this white matter disease or just migraine damage? Should I be worried I have high blood pressure and diabetic but well controlled.
Very informative, and since I haven’t yet seen my MRI taken last Friday, helpful to interpret the viewed Radiologist’s report that had me pretty concerned.
I have had these on my MRI for many years, but the last MRI I had also said probable lucunar infarction. What does that mean and is it cause for concern?
Do you have any information on cerebral cavernous malformations. I find most doctors do not know what, ccm, is. It has affected 26 people in multiple generations in my family, probably more. I myself discovered i have ccm, and id like to understand it more.
What’s the fee for a video explaining mri?
Currently, we are transitioning into providing video reports through partners in the healthcare industry. However, we can still offer individual reports for patients that register with us. They range from $95-150 depending upon turn-around time requested as of April of 2023. Pricing may change in the future.
Doc, what is the life expectancy with chronic microvascular ischemia?
Why is my husband having severe issues since being told he has this then. He literally went from a hard working man to barely able to function. Lost jobs, severe vertigo, memory loss, taste changes, ect. It is horrible!
These findings may or may not be related to your husbands symptoms and should be correlated by a neurologist. There are many different causes of the symptoms you describe which can include prior infection/inflammation or trauma. As mentioned in the video, long-standing hypertension and elevated cholesterol can result in the brain findings and may or may not cause symptoms.
That's me also. Bless him
Can vascular dementia be genetic? The maternal side of my family has a very high incidence of it. I had a recent MRI that showed mild scattered subcortical deep white matter and periventricular T2/FLAIR hyperintensities within the pons.......nonspecific white matter changes involving the bilateral cerebral hemispheres and pons likely on the basis of chronic small vessel ischemic disease.
Yes, it can most definitely be genetic just like an increased risk of hypertension, diabetes, etc.
How old are you?
@@Hi22213 73 year old
Great explanation - Thanks
I have the following written There are scattered small foci
of T2 prolongation in the supratentorial white matter
Moderate subcortical and periventrical chronic small vessel ischemic disease means what to me in the future?
Couldn’t this demyelination of the axons also be caused by extreme lack of cholesterol, often caused by excessive dosing of statins? I had a friend on statins with a total cholesterol of 139. I warned him that was way too low. In less than 4 months he had 3 strokes and died. I’ve also heard gluten can cause white matter lesions of the brain.
That's terrible. So sorry your friend didn't heed your warning. I've researched and statins are one of the worst things to give. Eating what is chemical free and healthy (lots of veggies) can lower cholesterol naturally. My mom had 166 of BAD LDL(total was over 200) and it went down to 116 at one time. So back to making smoothies which I think helped. Now gonna add veggies to them. Besides declarative prayer with God's promises in the bible, eating smart is better than taking all these drugs.
my mri said mild microvascular disease, though slightly advanced for age. I am 55 and also have slightly raised cholesterol and severe migraines, at least that's what I call them. I see no lights, light doesn't bother me; when they hit it's unbearable pressure in my head and eyes, feels like my head will explode. It's makes me feel I might have a stroke. I cannot pick upon move my head the pain is so severe. I also have cholesterol deposits around my eyes the entire orbital my mri said; xanthalasma but it's not visible externally. I'm worried about vascular dementia. My father had LBD. It's terrifying and my GM had a sudden death at 52 in her sleep. We don't know why, but she had hypertension and smoked. My mother has uncontrollable high BP, mine is ok. Can you weigh in on my situation, and if my mild microvascular disease is slightly raised for age, how many might we be talking about (white highlights?) If 40 would have 4-5, how many should a 55 year old have and what might be a slightly elevated amount? Thank you!
Thanks Dr this is my report I just recieved but have no clue what it means. I have pain in hands little numbness in face at times and stiff body in mornings. Can anyone help me understand my report please. Multiple hierintena punctate foacular lesions in Flai and T2 in the white matter subcortival and microangiopathic appearance.
The brainstem does not present signal alterations.
No restrictive effects are evident in the brain diffusion sequence.
CONCLUSION:
Microangioopathic lesions