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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Chronic Microvascular Ischemic Disease indicate onset of Alzheimer’s and Dementia?

I am a female 70 yrs old; had an MRI of the brain with and without contrast IMPRESSION: by Dr giving report CHRONIC MICROVASCULAR ISCHEMIC DISEASE AND EVOLUTIONAL CHANGES. NO EVIDENCE OF ACUTE INFARCTION OR AREAS OF ABNORMAL ENHANCEMENT OR MASS LESION.READING THE INTERNET SEEM TO INDICATE THIS WAS THE BEGINNINGS OF ALSHEIMERS AND DEMENTIA, IS THAT YOUR TAKE ON THIS?does this cost money?
Mon, 18 Jun 2018
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Neurologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

There is no type of imaging study at present which is considered DIAGNOSTIC of any form of dementia. Chronic microvascular ischemia is seen in people over the age of 45-50. The biggest risk factor for developing this radiographic finding is AGE. The rest of the scan is perfectly normal. And again, even the microvascular ischemia could be considered a "normal" finding for age.

Hope I have answered your query. Let me know if I can assist you further.
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Does Chronic Microvascular Ischemic Disease indicate onset of Alzheimer’s and Dementia?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is no type of imaging study at present which is considered DIAGNOSTIC of any form of dementia. Chronic microvascular ischemia is seen in people over the age of 45-50. The biggest risk factor for developing this radiographic finding is AGE. The rest of the scan is perfectly normal. And again, even the microvascular ischemia could be considered a normal finding for age. Hope I have answered your query. Let me know if I can assist you further.