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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Hyper Intensity And Micro Vascular Ischemic Indicate?

hi, i am a 47 year old female and my doctor ordered a mri of my brain because of real bad headaches. the mri showed white matter hyperintensity and microvascular ischemic , vasculitis or ms. can you please tell me what this means i am so confused and the doctor wont explain to me whats going on. you are my last hope to finding out what all this means. Thank you, Brenda from florida
Fri, 19 Sep 2014
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Radiologist 's  Response
Hello

Hyperintensities in white matter of brain may be due to ischemic changes resulting from involvement of small blood vessels,demyelination etc.
Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Proper treatment depend upon findings.

You also need follow up scan,it is necessary for ruling out demyelinating diseases. Demyelinating disease like MS are associated with many neurological findings,it should be clinically correlated.

Take Care
Dr.Indu Bhushan
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What Does Hyper Intensity And Micro Vascular Ischemic Indicate?

Hello Hyperintensities in white matter of brain may be due to ischemic changes resulting from involvement of small blood vessels,demyelination etc. Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia. So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. Proper treatment depend upon findings. You also need follow up scan,it is necessary for ruling out demyelinating diseases. Demyelinating disease like MS are associated with many neurological findings,it should be clinically correlated. Take Care Dr.Indu Bhushan