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What Does "moderate Chronic Small Vessel Ischemic Changes.." Mean?

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Posted on Thu, 3 Jul 2014
Question: Hi........I recently had a brain scan and was diagnosed with moderate chronic small vessel ischemic changes of the periventricular white matter bilaterally. In laymeen's terms what does this mean?
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Answered by Dr. Vivek Chail (2 hours later)
Brief Answer:
Usually seen in advancing age

Detailed Answer:
Hi XXXX
Thanks for writing in to us.

I have read through your query in detail.
Moderate chronic small vessel ischemic changes applies to certain areas of brain where there was deficient blood supply through small vessels rendering the tissues ischemic and degenerated. This is a slow process and is seen in diabetics, hypertensives or in advanced aging. At 77 years, it might be expected for you to have these changes and a complete neurological clinical examination is suggested. Any past history of XXXXXXX stroke like episodes needs to be discussed. At the advise of your doctor, medications might be need to be taken with regular follow ups.

Hope your query is answered.
Do write back if you have any further doubts.

Regards,
Dr.Vivek
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Does "moderate Chronic Small Vessel Ischemic Changes.." Mean?

Brief Answer: Usually seen in advancing age Detailed Answer: Hi XXXX Thanks for writing in to us. I have read through your query in detail. Moderate chronic small vessel ischemic changes applies to certain areas of brain where there was deficient blood supply through small vessels rendering the tissues ischemic and degenerated. This is a slow process and is seen in diabetics, hypertensives or in advanced aging. At 77 years, it might be expected for you to have these changes and a complete neurological clinical examination is suggested. Any past history of XXXXXXX stroke like episodes needs to be discussed. At the advise of your doctor, medications might be need to be taken with regular follow ups. Hope your query is answered. Do write back if you have any further doubts. Regards, Dr.Vivek