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Dr. Andrew Rynne

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What Does The Periventricular Deep Matter Mean?

My wife had an MRI; the impression is small areas of altered sighal intensity are seen in pons and periventricular deep white matter, most compatible with signal change secondary to chronic microvascular ischemia. What does this mean and is there treatment.
Tue, 17 Jun 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Small areas of altered signal intensity in pons and periventricular deep white matter are 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,she 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 The Periventricular Deep Matter Mean?

Hello Thanks for writing to HCM Small areas of altered signal intensity in pons and periventricular deep white matter are 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,she 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