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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bilateral Periventricular And Coronal Radiata Small Vessel Ischaemic Changes, Hypertension, Diabetic. Help?

My 76 year old mother has bilateral periventricular and coronal radiata small vessel ischaemic changes, according to a recent MRI scan . She has hypertension and type 2 diabetes which is treated with medication. She has no other symptoms but was sent for a scan as she has been experiencing double vision , which is being corrected with prisms on her glasses. What does this mean and how can help her?
Tue, 22 Jan 2013
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Diabetologist,  's  Response
HER DIPLOPIA MAY BE RELATED TO CRANIAL NERVES DYSFUNCTION(DUE TO HER DIABETES), WHICH LEADS TO WEAKNESS OF EXTRA OCULAR MUSCLES. ONLY TREATMENT FOR HER DOUBLE VISION AT THIS STAGE WILL BE PRISM AS RIGHTLY PROVIDED. BESIDES THAT HER DIABETES AND BLOOD PRESSURE NEED TO BE ADEQUATELY CONTROLLED FOR PREVENTING ANY FURTHER COMPLICATIONS ARISING OUT OF DIABETES. SIMILARLY, MRI BRAIN SHOWING ISCHAEMIC CHANGES IS CONSISTENT WITH THE COMPLICATIONS OF DIABETES AND RELATED ATHEROSCLEROSIS. SHE REQUIRES DAILY ASPIRIN THERAPY 50 TO 100 MG.DAY AND ATORVASTATIN 10 TO 20 MG/DAY FOR PREVENTING BRAIN STROKE.
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Bilateral Periventricular And Coronal Radiata Small Vessel Ischaemic Changes, Hypertension, Diabetic. Help?

HER DIPLOPIA MAY BE RELATED TO CRANIAL NERVES DYSFUNCTION(DUE TO HER DIABETES), WHICH LEADS TO WEAKNESS OF EXTRA OCULAR MUSCLES. ONLY TREATMENT FOR HER DOUBLE VISION AT THIS STAGE WILL BE PRISM AS RIGHTLY PROVIDED. BESIDES THAT HER DIABETES AND BLOOD PRESSURE NEED TO BE ADEQUATELY CONTROLLED FOR PREVENTING ANY FURTHER COMPLICATIONS ARISING OUT OF DIABETES. SIMILARLY, MRI BRAIN SHOWING ISCHAEMIC CHANGES IS CONSISTENT WITH THE COMPLICATIONS OF DIABETES AND RELATED ATHEROSCLEROSIS. SHE REQUIRES DAILY ASPIRIN THERAPY 50 TO 100 MG.DAY AND ATORVASTATIN 10 TO 20 MG/DAY FOR PREVENTING BRAIN STROKE.