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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Done Due To Chronic Cognitive Impairment. Diagnosed Chronic Micro Vascular Disease With Leukoencephalopathy. Treatment Possible?

I had an MRI a few months ago. The diagnosis was chronic microvascular disease with moderate leukoencephalopathy.; ventricular system unremarkable. My neurologists was vague on treatments. The reason for the MRI was because of a significant cognitive impairment. It seems to be getting worse. What is your professional opinion and what would you recommend to a patient?
Tue, 12 Feb 2013
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Neurologist,  's  Response
The type of cognitive impairment is essential in making diagnosis and then planing treatment

The cognitive domains can roughly divided in to six type
1. Memory
2. Language
3. Personality
4. Visuospatial
5. Execution and planing
6. Affect

We need to find out which are the domains that are mainly affected and the then plan a holistic treatment

This includes looking for correctable factors like vitamin deficieny thyroid dysfunction ,, underlying depression

Then we would pay attention to risk factors if present such as control of blood pressure, diabetes.

Treatment includes drugs such as donepezil, memantie which is best left to neurologist
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MRI Done Due To Chronic Cognitive Impairment. Diagnosed Chronic Micro Vascular Disease With Leukoencephalopathy. Treatment Possible?

The type of cognitive impairment is essential in making diagnosis and then planing treatment The cognitive domains can roughly divided in to six type 1. Memory 2. Language 3. Personality 4. Visuospatial 5. Execution and planing 6. Affect We need to find out which are the domains that are mainly affected and the then plan a holistic treatment This includes looking for correctable factors like vitamin deficieny thyroid dysfunction ,, underlying depression Then we would pay attention to risk factors if present such as control of blood pressure, diabetes. Treatment includes drugs such as donepezil, memantie which is best left to neurologist