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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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History Of Bilateral Subdural Hemorrhages, MRI Showed Micro-vascular Disease In Cerebral Hemisphere. What Does That Mean?

Thank you recently I had a MRI scan of the brain this was a review as I had bilateral subdural haemorrahges in 1999 I was lucky that I pulled through with only some minor effects but have had continual post traumatic headaches . however it was reported to me by a neurologist that I have microvacular disease in the cerebral hemispheres what does this mean your comments wuld be appreciated thank you
Fri, 1 Aug 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Microvascular changes in brain are related to ischemic changes resulting from involvement of small blood vessels.
Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Proper treatment depend upon findings.

Hope i have answered your query.
Take Care
Dr.Indu Bhushan
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History Of Bilateral Subdural Hemorrhages, MRI Showed Micro-vascular Disease In Cerebral Hemisphere. What Does That Mean?

Hello Thanks for writing to HCM Microvascular changes in brain are related to ischemic changes resulting from involvement of small blood vessels. Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia. So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. Proper treatment depend upon findings. Hope i have answered your query. Take Care Dr.Indu Bhushan