What does "deep white matter small foci of chronic ischemic gliosis" mean? - Online Doctor Chats
Had a brain MRI recently and one result was right frontal lobe subcortical deep white matter small foci of chronic ischemic gliosis. Can you explain in layman's terms what this means. I am a 63 year old male. Reason for MRI was concern about possible stroke due to some continued unsteadiness and left arm drift in a field test. No other physical signs of stroke.
and I here to assist you today
Let me read your query
Give me couple of minutes
ok got it
It is not uncommon to see such changes in the MRI of the brain of a 63 yr old person
More importantly why was the MRI done?
are you with me?
As I explained there was concern by my primary care physician of a possible stroke. unsteadiness, left arm drift and some weakness in left side
These changes observed in MRI represent small blood vessel problems
that means that the small blood vessels in the brain are showing signs of ischemia (lack of blood flow)
Your primary did the right thing
There is a suspicion of stroke with the symptoms you complained off
With these white matter changes the suspicion is stronger that there is a chance of impending stroke in future
I am a smoker and have stopped and all of the symptoms seem to be gone.
So as a primary physician if I see these changes in my patient I would like to check the extent of damage
since it is restricted to frontal area and there is a chance to spread to other areas I would surely address the risk factors leading to small vessel changes
The report also indicated small 4 to 5 mm focus of abnormal signal involving the inferior right thalamus
What part does diabetes play in this, I have never been diagnosed. I don't have high blood pressure either.????
Ok that is good to hear
I was in fact talking about long term diabetics and high blood pressure
since you were not diagnosed yet, I would relate these changes to age and smoking history
I think the best thing to do from now on is to prevent further damage
by taking nutritious diet, exercise, mental well being
Now the big question, the diagnosis on the MRI was Thromboangitis obliterans(Buerger's disease.
TAO is associated with smoking
I assumed it was, now what?
As I said to prevent further damage
with the above measures
OK, but should I be worried if I do these things?
Ok no you should not be worried
As you had stopped smoking completely you are saved
Wear protective foot wear and do not get hurt
Practice exercise, meet a dietitian for nutritious diet
Prevent infections, take necessary vaccinaations
It leads to further vasoconstriction
In future you should avoid drugs that lead to vasoconstriction, so you should remind the doctors that you have buerger's
Are you with me?
Did you follow?
Have tried to do most of the things
Great you are on right track
OK this helps
Do you have anything specific to ask me now?
Thanks for your advice. I guess not, I will be going to the neurologist in 2 weeks and just wanted some insight on the MRI
I think we are running short of time
As I said it is reflecting the changes of Buergers
in the brain
as expected and it is occasional white matter gliosis not extensive though
Thanks, I'll keep all this in mind as I followup with my doctors
Fine. Hope this is a useful session
Have a good rest of the evening.
Wish you Good health
Bye for now
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