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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Micro Vascular Disease. On Medication For BP And Cholesterol, Healthy Diet. Prognosis?

Was just told I had small cell/micro vascular disease, and evidence shows at least two prior strokes, possibly non-apparent. I'm on meds to control blood pressure and cholesterol, and follow a healthy diet. What is my prognosis for future strokes, mild or major, and are there additional steps I can take. I am not considered to be overweight. I'm only 51, female, 140 pounds. Long history of family migraines.
Sat, 28 Sep 2013
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Radiologist 's  Response
Hi,
Thanks for writing in to us.

I suppose your scan has revealed the possibility of microangiopathy in your brain which can be correlated to the possibility of small strokes in the past which were non apparent.

As such these can be ignored as it is not pointing to any serious condition. Microangiopathic change can be best described as really very small area where due to slightly abnormal blood supply, there is injury to the nerve cells. As this is involving a very small area, it will not cause any related symptoms. However you must control your 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 this helps
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Diagnosed Micro Vascular Disease. On Medication For BP And Cholesterol, Healthy Diet. Prognosis?

Hi, Thanks for writing in to us. I suppose your scan has revealed the possibility of microangiopathy in your brain which can be correlated to the possibility of small strokes in the past which were non apparent. As such these can be ignored as it is not pointing to any serious condition. Microangiopathic change can be best described as really very small area where due to slightly abnormal blood supply, there is injury to the nerve cells. As this is involving a very small area, it will not cause any related symptoms. However you must control your 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 this helps