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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 34304
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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PLEASE TELL ME ABOUT PERIVENTRICULAR AND SUBCORTICAL WHITE ...

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PLEASE TELL ME ABOUT PERIVENTRICULAR AND SUBCORTICAL WHITE MATTER DISEASE. IS IT SERIOUS.?I AM 67 YRS OLD.WHAT CAN I EXSPECT?

Greetings.

Were the findings noted in MRI / CT? Can you please write down the detailed report?

Dr. Arun

Customer: replied 9 years ago.
THERE IS NO MIDLINE SHIFT.LATERAL VENTRICLES AND SULCI ARE SYMMETRIC.BASAL CISTERNS ARE OPEN.THERE IS NO SUBARACHNOID BLOOD.NORMAL GRAY-WHITE DIFFERENTIATION IS PRESERVED.MODERATE PERIVENTRICULAR AND SUBCORTICAL WHITE MATTER DISEASE IS DEMONSTRATED BILATERALLY,LEFT GRATER THAN RIGHT.THIS IS COMPATIBLE WITH CHRONIC MICROVASCULAR ISCHEMIC CHANGES AND HAS NOT SIGNIFICANTLY CHANGED WHEN COMPAREDTO HEAD CT OF 5/11/2007. NO OTHER AREAS OF ABNORMAL HIGH T2 SIGNAL LESION TO INDICATE INFARCT ,MASS,CONTUSION. NO INTRA OR EXTRA-AXIAL BLOOD. PARANASAL SINUSES AND MASTOID AIR CELLS ARE CLEAR.
Customer: replied 9 years ago.
DR.ARUN   I WOULD LIKE TO KNOW WHAT TREATMENT I WILL NEED? CAN A PILL TAKE CARE OF THIS OR WHAT?

Hello,

This white matter disease is due to very gradual loss of blood supply. Our brain is composed of two type of matters; white matter and grey matter. Changes in the brain can be generalized, affecting the white matter as well as grey matter. When any particular change in the brain affects either of two matter predominantly, as in your case, it is white matter, it is termed as white matter disease.

Your white matter changes, as I mentioned, is due to chronic microvascular ischemic changes. When we age, gradually blood supply to all organs, including the brain, gets decreased. These are termed as degenerative changes. These changes are very gradual thus the term chronic. When they are not in the major blood vessels, and affect those blood vessels only, which are so tiny, that can't be visualized, they are termed microvascular. Ischemic is loss/decrease of blood supply.

So it is not dangerous. As they are age related changes. Good news is that they have not progressed much from 5/11/207. The treatment of this is to take care of diabetes or blood pressure or abnormal lipid profile, if one suffers with these problems. Some neurologists may prescribe multivitamins.

Please feel free for your follow up questions.

Dr. Arun

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