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Severe dizzy. MRI and blood tests done. Diagnosed microvascular ishemic disease. How can the disease progression be slowed down?

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Month ago became severley dizzy, balance and coordination was a feeling of being unable to walk without swaying or falling,I fell several times. Physician placed me in hospital, ran blood work and MRI with contrast, diagnose of Microvascular Ishemic Disease. Receiving inhome physical therapy and on a walker for coordination and balance. Dizziness much better, checked for inner ear infection and only a few crystals on right side, not enough to cause dizziness. Told to lose weight, get cholesterol, blood suger and blood pressure under control. My question is now that dizziness has lessoned and feeling stronger and balance is much better even when not using walker, will I soon be back to what I call normal life or will I continue to have problems. I still have daily headache, getting stronger as day goes on. They say this can cause dementia, what are chances as physican said I have had this for a long time and it is severe. I do not have copy of MRI so do not know complete report of MRI. I was also told by my physican he believes I have had TIA's in the past. I feel so in the dark, need to know where I go from here. Should I have second opinion maybe by neurologist? What can I do to slow down progress of this disease. Physician said I would go through good days and bad days but cannot stop progress only slow it down by being vigilant with my meds and diet and exercise. I still want to think diagnosis is wrong am I only kidding myself?
Posted Thu, 12 Jul 2012 in Stroke
Answered by Dr. Rakhi Tayal 6 hours later
Thanks for posting your query.
It is good to know that you are recovering well.
Your symptoms are suggestive of a minor stroke. Sometimes even in the absence of predisposing factors like hypertension, obesity, high cholesterol, diabetes, heart disease, etc such changes can be due to age related degeneration.
These minor symptoms do resolve after regular physical therapy.
You will be able to lead a normal life. Please do not worry.
Such age related degenerative changes can only be retarted with the help of adequate lifestyle modifications and treatment. All these changes are not completely reversible.
Taking a second opinion from a neurologist with detailed reports will be helpful.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Rakhi Tayal.
Above answer was peer-reviewed by
Follow-up: Severe dizzy. MRI and blood tests done. Diagnosed microvascular ishemic disease. How can the disease progression be slowed down? 17 minutes later
thank you for your answer, it puts me at ease. I do have a couple of followup questions, with the diagnose of microvascular ishemic disease will I possibly have more mild strokes? My phyician related to me I would be on a walker for life. Will this be possibly true. I have heard horror stories from people that this disease caused vascular dementia. My father had a stroke and hardening of the arteries at age 60, and pror to his death 10 years later was diagnosed with dementia. my hemorratic stroke was at age 57 but no signs of dementia. I am working hard to exercise, following a low fat, diabetic diet and take my meds faithfully. Will this disease just disappear or will it continue to progress. Sorry to be such a pain, I so much want to get back to normal again but I still get dizzy and off balance but not anything compared to a month ago. Anything you can tell me I would really appreciate. I want to try and understand what is ahead of me physically and what activities I should avoid. I live alone maybe that is why I am so fearful thanks again
Answered by Dr. Rakhi Tayal 1 hour later
Thanks for writing again.
In microvascular ischaemic disease, further such episodes are possible aqnd the frequency depends on the predisposing factors.
Dementia is also one of the comnplications and may develop in severe cases. Since you do have a positive family history, you might also develop this problem.
Some nootropic medicines and brain exercises like solving puzzles will help in retarding the progression of the disease.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Above answer was peer-reviewed by
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