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MRI and CT scan done. What does mild periventricular subcortical white matter t2 hyperintensities mean?

Nov 2013
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my mom had mri of brain and a ct of brain. the report states mild periventricular subcortal white matter T2 and FLAIR hperintenities are noted suggesting chronic microvascular ischemic changes. Chronic microvascular ischemic changes within the central pons.
they mentioned dementia do to this. what does this all mean
Posted Sun, 7 Apr 2013 in Brain and Spine
Answered by Dr. Sudhir Kumar 4 hours later

Thank you for posting your query.

The findings mentioned in your mom's MRI and CT scans represent ischemic changes (lack of blood flow to brain).

The common risk factors for this are cholesterol and diabetes (which she has). Other risk factors are high BP and high homocysteine in the blood.

If the lack of blood flow affects cerebral cortex in addition to the affected areas (as mentioned in the reports), then dementia may occur. With the current findings, dementia may not occur or it may be mild.

Treatment requires use of blood thinners such as aspirin. In addition, risk factors (as mentioned above) should be controlled.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
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