What does this MRI report for recurring vertigo indicate?
Age-related white matter changes(WMC).Should not be the cause of vertigo.
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I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Chronic microvascular ischemic changes can be age related.These changes are common in elderly and not pathological.What is your age?
Further,These white matter changes don't cause vertigo.The cause of vertigo must be different.
Besides,there can be several other causes of such white matter changes like vasculitis,autoimmune diseases,brain infections,Thyroid dysfunction and several more.But,with just vertigo,extensive evaluation is not needed.
We,the doctors,treat patients and not the MRI's.
Please upload your MRI report,so that I can answer it further.
If you have any further questions,I shall be glad to answer.
Everything I read states that this is common with high blood pressure, diabetes, high cholesterol, migraines. I have non of those.
With that information, what could I possibly be looking at???
Psychosomatic dizziness/Vestibular Migraine variant.
Thanks for being in follow-up.
Brain white matter changes are probably age related.However,following investigations should be done to rule out the common causes for the same-
1)Thyroid function tests
2)Erythrocyte sedimentation rate(ESR)
A CT/MR angiogram of intracranial vessels can be done to see the vascular changes,if any.However,I would like to have a look at MRI report/MRI images before suggesting you to go for an angiogram of brain vessels.
So,please upload your MRI report/scanned images.
Further,the probable causes of your dizziness are-
2)Vestibular Migraine variant
Meanwhile,I suggest you to start a trial of -
1)Tab. Escitalopram plus clonazepam(10/0.5) 1 tab once a day,
and observe for the response.You'll probably show improvement on this.At the same time,please start doing regular mental relaxation exercises like meditation/yoga.That will further add up to the benefit.
Please get back to me anytime you have a query as I would like to track down your future clinical developments.
Hope that I have answered your query.If you have some follow up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
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