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
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.