Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
189 Doctors are Online

What does Mild-moderate small vessel micro-ischemic changes of the white matter of cerebral hemisphere mean?

May 2014
User rating for this question
Very Good
Answered by

Practicing since : 2002
Answered : 6247 Questions
what does Mild-moderate small vessel micro-ischemic changes of the white matter of the cerebral hemispheres mean?
Posted Tue, 15 Oct 2013 in Brain and Spine
Answered by Dr. Vivek Chail 1 hour later
Brief Answer:
Please find detailed answer as given below

Detailed Answer:
Thanks for writing in to us.

I have read through your query in detail. The clinical problems related to the brain condition are most likely diabetes and hypertension in association with raised cholesterol numbers.

The MRI findings are explained below in simple language. MRI brain was done to investigate vertigo as documented in the report.

1. The ventricles and cortical sulci are slightly prominent. This is consistent with mild atrophy.

This explains that the surface impressions over the brain (sulci and gyri) are slightly prominent or well demarcated. This can be expected in a 65 years old and due to age related developments. The fluid containing spaces (brain ventricles) are also slightly prominent and this too is an age related development.

2. Small vessel micro-ischemic changes involve the white matter of the cerebral hemispheres to a mild-moderate degree as well. No acute diffusion restriction or acute infarcts are reported. No hemorrhage is seen.

There are large arteries which subsequently branch into smaller arteries and vessels to supply the entire brain. It is mentioned that there is micro -ischemic (microangiopathic) change which can be best described as very small areas where due to slightly abnormal blood supply, there is injury to the nerve cells. Our brain contains billions of nerve cells and in your situation just a few are involved and you must not worry about it. Vertigo can be caused due to micro ischemic changes. Damage also depends on the location and in your MRI it is not a very important region that is involved.

The commonest causes are aging, diabetes, raised cholesterol and high blood pressure. This does not indicate that there was any acute stroke earlier but there could have been small XXXXXXX strokes. However you must control your diabetes, blood pressure and cholesterol so that complete strokes are not manifested. At the same time please keep your mind free from any kind of mental stress.

I would recommend you to get completely examined by your neurologist and follow a healthy diet and good fitness plan. Do not exert yourself and try to lead a stress free life that is normal in every way. Report to your doctor if you experience any neurological symptoms like dizziness, twitching, jerks, fits, numbness, tingling, visual and speech problems to name a few.

Hope your query is answered.
Do write back in case of doubts.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Neurologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor