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

What exactly is mild subcortical microvasular ischemia without an acute infarct? Is it a stroke?

User rating for this question
Excellent
Answered by
Practicing since : 2001
Answered : 12383 Questions
Question
What exactly is 'mild subcortical microvasular ischemia without an acute infarct? Is it a stroke?
Thank you.
Posted Thu, 24 May 2012 in Brain and Spine
 
 
Answered by Dr. Rakhi Tayal 5 hours later
Hello,
Thanks for posting your query.
Mild subcortical microvasular ischemia without an acute infarct indicates an age related microvascular change in the brain commonly seen in diabetics, hypertensives, etc. It does not indicate any pathology and is an age related degenerative change. This is not related to stroke.
All white matter lesions do not represent a disease.
The lesions found in your case -if these are non progressive, then are more indicative of a benign chance finding. In the absence of any clinical signs and symptoms, the significance of these white matter lesions are difficult to assess.

These lesions are responsible for memory impairment (vascular dementia) in some individuals. A neurological examination to look for cognitive impairment is needed to diagnose the condition.

Hence I advise you to follow with your neurologist. He would be the best person to guide further diagnostic workup and treatment.

Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
Above answer was peer-reviewed by
 
Follow-up: What exactly is mild subcortical microvasular ischemia without an acute infarct? Is it a stroke? 50 minutes later
Since I have neither diabetes nor high blood pressure, what other conditions can cause it? Thank you.
 
 
Answered by Dr. Rakhi Tayal 17 minutes later
Hello.
Thanks for writing again.
These lesions are more commonly seen in the MRI of patients who have cerebrovascular risk factors like hypertension, diabetes and high cholesterol as well those that smoke. Their incidence increases with age.
These can just be physiological variations also in the absence of any pathology.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to

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