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Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 1985
Experience:  Neurosurgeon - Brain, spine, and peripheral nerve surgery
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Could chronic small vessel ischaemia changes be connected to

Customer Question

could chronic small vessel ischaemia changes be connected to sever dysphagia?
many thanks, Sharon
Submitted: 2 years ago.
Category: Neurology
Customer: replied 2 years ago.
the MRI brain showed a few small foci of white matter T2 hyperintensity in keeping with the changes of chronic small vessel ischaemia. Bilateral small lentiform nucleus lesions found with chronic appearance in keeping with gliosis and encephalomalacia ( 1cm in diameter) No acute infarct or haemorrhage identified. Brain stem and cerebellum are normal. Colpocephaly appearance of the lateral ventricles with distension of occipital horns and trigones.Presumed congenital. No parenchymal abnormality on non contrast CT brain. He has severe thoracic kyphosis
Expert:  DrRussMd replied 2 years ago.


There is no finding here consistent with causing dysphagia

can you give me more information?

What evaluation have you had

What does your neurologist say?