Hello
Thanks for writing to HCM
Several scattered small bilateral periventricular and subcortical
white matter T2 FLAIR hyper intensities are the white matter changes in brain and it may be due to many reasons.
It may be due to ischemic changes,
demyelination etc.
White matter ischemic changes(decreased blood supply)typically involves small blood vessels.However demyelination,lyme disease,post traumatic changes should also be ruled out with follow up scan.
You need monitoring of conditions that leads to ischemic changes like
hypertension,altered
lipid profile,
diabetes mellitus.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
If there is any more physical problems then it should be treated.
Get well soon.
Hope i have answered your query.
Take Care
Dr.Indu Bhushan