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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Attenuated Changes In Capsule With Ischemia Suggest?

Thank you, my 96 year old grandmother recently had a CT scan of brain I would like to know what the results means. Low attenuated changes seen in the left external capsule consistent with ischemia or early infarction. Bilateral periventricular white matter low attenuation consistent with small vessel ischemia.
Mon, 16 Jun 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Ischemia or early infarction in the left external capsule and bilateral periventricular white matter low attenuation is due to chronic microvascular ischemic changes resulting from involvement of small blood vessels.

Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,your grand mother 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.
She 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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What Does Attenuated Changes In Capsule With Ischemia Suggest?

Hello Thanks for writing to HCM Ischemia or early infarction in the left external capsule and bilateral periventricular white matter low attenuation is due to chronic microvascular ischemic changes resulting from involvement of small blood vessels. Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia. So,your grand mother 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. She 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