Chronic Microvascular Ischemic White Matter Disease of the Brain on MRI
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- เผยแพร่เมื่อ 1 มิ.ย. 2024
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As you may have seen, many brain MRI reports mention findings such as:
- Nonspecific T2/FLAIR hyperintensities
- Chronic microvascular ischemic disease
- Small vessel or microangiopathic disease
These findings are very common and usually result from either normal aging or secondary to microvascular disease caused by hypertension, high cholesterol, smoking, and/or diabetes.
If you have had an MRI of your brain, this video will help you better understand what these findings mean in general and for you.
Dr. Evan, a highly trained neuroradiologist who specializes in brain imaging, will start by explaining in detail the anatomy of the gray and white matter of the brain. Then, he will compare a normal brain MRI with MRI images of a brain with mild and severe microvascular white matter changes.
Looking for more radiology imaging breakdowns like this one? For more Mediphany radiology report samples, visit: mediphany.com/product-tour/ - วิทยาศาสตร์และเทคโนโลยี
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.
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!
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
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.
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!!
Excellent presentation. You should teach a class on this to ER physicians. 😊
That was so informative. Thank you!
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.
Thank you for your detailed explanation
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!
So happy I found this
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...!
Be far the best explanation provided. Thank you for that, it really make a difference for a lot of people ❤
Excellent video and explanation of MRI results and in depth understanding of the situation. The X-rays were extremely helpful, thank you! 2:08
Excellent Video...Thank You! And Very Easy To Follow......
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?
Thank you. Excellent clear explanation and illustration. FYI the speedy clicking through different levels was somewhat hard to follow visually.
Thank you for explaining to us about this matter. it relieves our anxieties and fear on this subject.
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 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.
Great explanation - Thanks
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 ?
Helpful explanation. 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?
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
Thank you, your explanation was very helpful in me understsnding what I am dealing with. Blessings.
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.
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
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.
Dr Evan, would you please do a video on, “Generalized Brain Atrophy.”
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
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.
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.
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?
Thank you so much for this!!!!
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?
How long a person can live with mild chronic ishemaic changes in brain?? I am 35 and my MRI show this ?
great video!!!!!! thank you so much
My hyperinstsity mainly were around the horns of the periventricular. One probably about 6 mm in frontal left. It appeared well rounded.
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….
The background music is nice but is too disruptive for me to concentrate on what you are presenting.
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
Thank you so much doctor, you have put my mind at rest. Can I please ask a question?. I have multiple small and tiny foci of basil ganglia, pens, and to a lesser extent front-parietal periventricular white matter. Prominent cortical sulci,syvian fissures and extra-axial CSF spaces as well as the cerebral ventricular system. I went to see the neurologist as I was having problems and getting with memory issues, as well as losing some balance, I told him, i felt as if i was just fading away. He did an MRI scan on the brain, no contrast, and this came back. He put me on Memantine Mylan 10mg and I have to tell you after 2 weeks, I feel great, my language is great, my balance is great, memory, and speech great. I feel as though i am back to life 100 percent. Now, I'm worrying, my question is ??. Will my brain get bad again or does this medication at least slow the damage down?. I had Encephalitis 8 years ago and could not talk or walk very well for a few weeks, I wonder if that could have caused the spots on the brain. I understand if you cannot answer, but I am a little afraid of taking medication for the brain, as when I read about possible side effects like heart attacks, kidney disease ext I get worried. God bless and thank you. Keep safe and well.
thank you! am researching for my sister
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.
My spouse had hsv encephalitis in 2010. His most recent mri states extensive deep white matter T2 hyperintensities, extensive encephalmalacia involving bilateral anterior temporal lobes and insular cortex, with focal encephalmalacia in superior left frontal lobe. All the neurologist states is this is typical for patients with hypertension,migraine,history of encephalitis. The most recent testing indicated mixed dementia, but not which ones. Would this typically be AD and Vascular dementia or possibly some other dementia like FTD since those areas were affected by the near fatal virus in 2010 in your opinion? We have not been specifically told which dementias he possesses has.
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?
Is there a reason for this to show on three different head CT scans but when I had an mri it wasn’t seen?
Omega 3 has been shown to dissolve amaloid plaque… thankfully
I've heard the same. Also following a carnivore diet. Via Dr Ken Barry who has a YT channel....
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 so much for this explanation it helps alot.. And makes it easy access to vital in formation.. And as I have read.. Takes pressure off doctors and wasting time in expiation. Lol.. But isn't what doctors are suposed to do?.. Hmmm. Thanks again.
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
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?
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
Thanks Dr, Evan. In an MRI report what is the difference between IMPRESSION and FINDINGS?
@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?
Can they be cured completely
Thank you 😊 I had a mini stroke last year and since then I’ve been having really bad migraines. This month the migraines have been really bad that I ended up going to the ER last week. They did an MRI and this is the conclusion:
Small T2 flair hyperintense foci in the bifrontal white matter have mildly increased in number from prior exam and are non-specific but could represent the sequelae of chronic vascular headache versus chronic small vessel ischemic disease.
Does that mean I know suffer chronic migraines ..?
Can an MRI read chronic T2 hypersensitivities in the supratentorial WM & migrainous angiopathy without it being concerning- with only POTS & adhd ad hx?
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’m 45 year old female non smoker. I’ve just been diagnosed with small matter disease and have narrowing of my arteries. I was diagnosed last year after having a heart attack with heart failure and since then I’ve had another mild heart attack and a small mini stroke which from that I’ve developed myoclonic epilepsy. I’m taking around 17-20 tablets a day but need answers! My mum had cerebral vasculitis so presume maybe this is why I’m like how I am?? No one can give me a straight answer and it’s so frustrating!
Moderate subcortical and periventrical chronic small vessel ischemic disease means what to me in the future?
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!
I had a brain MRI . I'm 37 and i have three nonspecific scattered foci of the high T2 flare signal in the subcortical and periventical white matter. I also have tingling all over my body, numbness and pins and needles originally had it done to rule out MS. I also have noticed problems with vision and swallowing.
Get tested for Lyme disease
@@user-ue2fi1fq8u I have but it came back negative the only thing that came back as of recent is elevated sedation rate. Had a optic nerve test and eye doctor said he thinks it's neurological
@@user-ue2fi1fq8u I got tested for Lyme disease but it came back negative. The only abnormality was an elevated sedation rate also had a optic nerve test done which the eye doctor said he believes it is something neurological because his test came back as abnormal.
I have a pineal cyst of 1cmx.7cm and nonspecific foci in T2 in hyperintensity …should i be worried
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.
This basically how my doctor explained it, already on blood pressure meds and thinners, and vit d, due to other health conditions. There is no known treatment, per se.
Tbi, marine vet survivor.
Thanks.
My dads results showed Chronic microvascular disease without acute intracranial abnormality. He is a stroke survivor from several years ago and this is a progression in deterioration from last year. They are saying maybe Lewy Body dementia but won’t diagnose as that any thoughts?
Lewy Body dementia is typically diagnosed clinically by a neurologist after ruling out other causes of dementia. Sometimes, a trial of Parkisons medication is performed to see if any symptoms get better since it is a related condition. There are no common imaging tests that can diagnose Lewy body dementia directly. Chronic microvascular disease is nonspecific but can cause dementia-like symptoms if it is severe.
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
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?
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?
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..
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.
I have 1 on my mri it states Solitary punctate white matter hyperintensity at the right frontal- insular junction is nonspecific. My doctor says it’s normal and nothing to worry about but something is telling me to get a 2nd opinion. What do you suggest?
I have the same finding. I’ve had it for 5 years now. It hasn’t changed at all. Did they figure you out?
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).
Dr I don't know how to explain my problem I am having severe falls I broke my left hand have a plate and screws to bring my wrist join together I am falling with a force that I hurt my headcausing it to swell double in size I have lesions on the brain and two weeks ago I had a seizure it was my first seizure but it lasted long and I had an aneurysm 1.1m
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
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!
Great information Dr. !
May i suggest you speak a tad louder? The backround music distracts.
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.
How could I get you to analyze my MRI results(CD), in the form of a video?
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
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.
Thank u. My Dr. Explained mist of this..he's a Neuro guy . Him I trust the i m not worrying just tired if test
Thank you Doctor Evans, i am a 55 years old male recently diagonised with Dianetes t2,and had cholostrol, since then i felt preasure in my front head, had mri, and the result was small vessel schemic. My question is, is it normall to feel preasure in the head and what is the treatment for these deases. Thankyou
I feel same .
I got all of it ☺️🤠
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
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.
Thanks for sharing. My wife recently had a brain MRI. The report mentioned normal brain atrophy with mildly prominent white matter disease. The MRI was done due to some mild memory and balance issues. At what stage does white disease typically begin to affect a person. She is 67.
The more severe, the more likely to cause symptoms, however even severe cases may never cause symptoms directly. It's a variable process.
Thanks, very well done! BTW, is that your sons gaming chair?
Sir can a person with ischaemic changes in brain can be cured?
Once the white matter lesions occur, they will persist for the rest of the person's life. That being said, they may or may not cause any symptoms.
No. Only can exercise and blood pressure fluctuation needs to be remedied and diet . These things can be used to try and slow the progress of the disease but there’s no cure . So I e heard other specialists explain .
In my brain but I don't have the right pain . He says I don't have the right pain. They're trying to migraine metal medicine on me I do not have migraine. My left side face hurts my face is numb and I have Is ear ache all the time
My son wanted to know what white matter of Circle of Willis ❤
Thank you, Dr. Evan. Since my disease is similar to migraines, I'm wondering if my Hemicrania Continua is a cause of the Chronic Microvascular Ischemic White Matter Disease. I had a stroke in
April 2023.
My mom had an MRI done they found That
there is extensive microangiopathic changes in the white matter she is an active drug user and has an chronic back pain i am hoping it’s not dementia
The background music is pretty but was distracting to me. I’m trying different volumes but I’m a little hard of hearing
Evident 3 months after PED placement L ica-no longer practice-symptomatic post-op
Or hair tint probably damage too!