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Dr. Andrew Rynne

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Should I Be Worried About The Chronic Microvascular Ischemia And Mild Lobe Infarct?

I would like to know the meaning of some terms in a report on the results of a recent brain MRI, ordered because of very frequent migraine headaches and problems with balance. The terms: 1) chronic microvascular ischemia ; 2) mild right temporal lobe infarct ; 3) mild brain atrophy . I m 70 years old; are these conditions just normal aging, or something I should be more concerned about?
Tue, 22 Apr 2014
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I have noted your symptoms. First of all, I would like to reassure you that there is no need to worry, as the MRI does not suggest any serious brain disease.

MRI is suggestive of decreased blood supply to brain (ischemia and infarct). This could be related to migraine, however, we need to exclude risk factors such as diabetes, high BP and cholesterol.

It may be useful to take aspirin tablets.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Should I Be Worried About The Chronic Microvascular Ischemia And Mild Lobe Infarct?

Hi, Thank you for posting your query. I have noted your symptoms. First of all, I would like to reassure you that there is no need to worry, as the MRI does not suggest any serious brain disease. MRI is suggestive of decreased blood supply to brain (ischemia and infarct). This could be related to migraine, however, we need to exclude risk factors such as diabetes, high BP and cholesterol. It may be useful to take aspirin tablets. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in