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Double vision with both eyes, high blood pressure, multipe bilatera white mater hypernensiies, ischemic demyelination

yes, my br had vision problem, double vision wit both eyes,his BP was high , now found n started treatment.MRI done resut is Multipe bilatera white mater hypernensiies ?deyelinating ch.ischemic changes, prominent rt occipital horn, mentioned there could b due to old schemic insult. kindly adv me abt his cond n what o do furher
Asked On : Sat, 5 May 2012
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Ophthalmologist 's  Response
Essentiallly the MRI is telling you that your brother has chronic under-treated high blood pressure with resultant vascular damage --- reflected by the prior stroke and microvascular changes.

The transient double vision coupled with and episode of high blood pressure suggests a vascular occlusion in the brain stem.

The only treatment is to control all vascular risk factors including high cholesterol, diabetes, and blood pressure. The carotids should be checked for obstruction to determine if additional anticoagulation or endarterectomy is indicated to reduce the risk of stroke. In your brother's case, there is occipital lobe damage from prior stroke. Since this portion of the brain is fed by the posterior cerebral arteries, MR angiography can also be performed to check for obstruction in these arteries to likewise determine if anticoagulation is indicated.
Answered: Sat, 5 May 2012
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