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CT scan after severe headaches showed small chronic infarct in caudate nucleus, chronic ischemic changes. Diagnosis, treatment?

CT scan of brain after severe headache in 77 year old elderly male with recovering from hip fracture 1.5 years ago, with asthma, hypothyroidism , eczema and high cholesterol/triglycerides (no BP or diabetes or obesity) - Small chronic infarct in left caudate nucleus, minimal bilaterial periventricular white matter - chronic ischemic changes are seen, - Ventricular system basal cisterns and cortical sulci are prominent suggestive of cortico cerebral atrophy What is the diagnosis, prognosis, treatment and preventive care with nutrition?
Asked On : Sat, 12 Jan 2013
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Neurologist, Surgical 's  Response

The headaches in this gentleman does not seem to be related to any of the findings on the scan. The chronic infarct means that at some time in the past he has had a minor stroke which he may or may not have even noticed. the rest of the changes are suggestive of shrinking of the brain which can occur with age. Therefore, both these are not the cause of the headaches. If there are no contraindications, he should be on a medicine like aspirin to prevent strokes in the future.

Hope this helps.
Answered: Wed, 16 Jan 2013
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