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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vestibular Schwannoma

Recent MRI to rule out vestibular schwannoma (resulting in unilateral hearing / balance loss) reported "cerebral white matter T2 signal changes compatible with chronic microvascular ischemic disease". Am I having mini-strokes? Inner ear and auditory canals listed an normal / unremarkable. How would you define chronic microvascular ischemic disease. (I was a nurse before entering engineering field.)
Wed, 25 Mar 2015
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Neurologist, Surgical 's  Response
Hello. I have been through your question and understand your concern.

Microvascular white matter disease is a normal feature found on most of the MRIs after a certain age. There is no treatment to this condition and is not really a stroke or ministroke. These are just perfusion changes in the level of artherioles, not artheries, which are thought to be related to hypertension.

You should not be worried. This is a normal MRI.

Hope this helps.

Wish you the best health
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Suggest Treatment For Vestibular Schwannoma

Hello. I have been through your question and understand your concern. Microvascular white matter disease is a normal feature found on most of the MRIs after a certain age. There is no treatment to this condition and is not really a stroke or ministroke. These are just perfusion changes in the level of artherioles, not artheries, which are thought to be related to hypertension. You should not be worried. This is a normal MRI. Hope this helps. Wish you the best health