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Dr. Andrew Rynne
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Dr. Andrew Rynne

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As Per The CAT Scan, How Is The Prognosis Of Dementia And Can It's Progress Be Slowed Down?

My husband has dementia -- probably Alzheimer's. He seems to be progressing slowly, thank goodness. He just had a cat scan and below are the findings:

Conclusions: Periventricular white matter shows bilateral patchy chronic microvascular changes.
no acute infarct
no intrcranial hematoma
no intracranial soft tissue mass.
no herniation
no hydrocephalus
Impression:no acute intracranial pathology. Other findings above
So what does this all mean? His doctor was not worried but really didn't explain what is happening. Is there anything that can slow the problems with the white matter.

Ty KS
posted on Tue, 21 Jan 2014
Twitter Tue, 21 Jan 2014 Answered on
Twitter Wed, 22 Jan 2014 Last reviewed on
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Neurologist,  's  Response
Hi,

Thank you for posting your query and providing the detailed report of the CT scan of his brain.

First of all, I would like to reassure you that the abnormalities reported are minor and there is no need to worry about them.

They show ischemic changes- lack of blood flow to the brain.

The usual underlying cause is high BP or sugar or cholesterol.

He should be on aspirin tablets.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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As Per The CAT Scan, How Is The Prognosis Of Dementia And Can It's Progress Be Slowed Down?

Hi, Thank you for posting your query and providing the detailed report of the CT scan of his brain. First of all, I would like to reassure you that the abnormalities reported are minor and there is no need to worry about them. They show ischemic changes- lack of blood flow to the brain. The usual underlying cause is high BP or sugar or cholesterol. He should be on aspirin tablets. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/