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What Does This MRI Report Indicate?

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Posted on Wed, 7 Oct 2015
Question: After an MRI, the Conclusion was:
Minimal chronic small vessel ischemic disease with a punctate remote infarct in the right cerebellum. No evidence for acute infarct or mass.
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Answered by Dr. Dr. Erion Spaho (58 minutes later)
Brief Answer:
Probably high blood pressure uncontrolled.

Detailed Answer:
Hello and thanks for using HCM.

I have read your query and MRI report carefully.

Small vessels disease of brain as indicated by MRI findings are mainly results of chronic high blood pressure.

Remote small infarction in cerebellum means that there happened a small stroke in the past.

Both these MRI findings are conseguences of nontreated high blood pressure, high blood cholesterol, use of alcohol and tobacco.

In my opinion, you should discuss with your primary care Doctor about having a complete screening of cardiovascular system in order to evaluate factors that predispose to high blood pressure and potential stroke, treatment ant preventive measures as well.

As a start, 100 mg of aspirin per day, if no contraindications, reduces the risk of stroke and stops the progression of small vessels disease.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4494 Questions

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What Does This MRI Report Indicate?

Brief Answer: Probably high blood pressure uncontrolled. Detailed Answer: Hello and thanks for using HCM. I have read your query and MRI report carefully. Small vessels disease of brain as indicated by MRI findings are mainly results of chronic high blood pressure. Remote small infarction in cerebellum means that there happened a small stroke in the past. Both these MRI findings are conseguences of nontreated high blood pressure, high blood cholesterol, use of alcohol and tobacco. In my opinion, you should discuss with your primary care Doctor about having a complete screening of cardiovascular system in order to evaluate factors that predispose to high blood pressure and potential stroke, treatment ant preventive measures as well. As a start, 100 mg of aspirin per day, if no contraindications, reduces the risk of stroke and stops the progression of small vessels disease. Hope you found the answer helpful. Let me know if I can assist you further. Take care.