Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Double Vision With Both Eyes, High Blood Pressure, Multipe Bilatera White Mater Hypernensiies, Ischemic Demyelination

yes, my br had vision problem, double vision wit both eyes,his BP was high , now found n started treatment.MRI done resut is Multipe bilatera white mater hypernensiies ?deyelinating ch.ischemic changes, prominent rt occipital horn, mentioned there could b due to old schemic insult. kindly adv me abt his cond n what o do furher
posted on Sat, 5 May 2012
Twitter Sat, 5 May 2012 Answered on
Twitter Thu, 24 May 2012 Last reviewed on
Report Abuse
Ophthalmologist,  's  Response
Essentiallly the MRI is telling you that your brother has chronic under-treated high blood pressure with resultant vascular damage --- reflected by the prior stroke and microvascular changes.

The transient double vision coupled with and episode of high blood pressure suggests a vascular occlusion in the brain stem.

The only treatment is to control all vascular risk factors including high cholesterol, diabetes, and blood pressure. The carotids should be checked for obstruction to determine if additional anticoagulation or endarterectomy is indicated to reduce the risk of stroke. In your brother's case, there is occipital lobe damage from prior stroke. Since this portion of the brain is fed by the posterior cerebral arteries, MR angiography can also be performed to check for obstruction in these arteries to likewise determine if anticoagulation is indicated.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Angiography


Loading Online Doctors....
Double Vision With Both Eyes, High Blood Pressure, Multipe Bilatera White Mater Hypernensiies, Ischemic Demyelination

Essentiallly the MRI is telling you that your brother has chronic under-treated high blood pressure with resultant vascular damage --- reflected by the prior stroke and microvascular changes. The transient double vision coupled with and episode of high blood pressure suggests a vascular occlusion in the brain stem. The only treatment is to control all vascular risk factors including high cholesterol, diabetes, and blood pressure. The carotids should be checked for obstruction to determine if additional anticoagulation or endarterectomy is indicated to reduce the risk of stroke. In your brother s case, there is occipital lobe damage from prior stroke. Since this portion of the brain is fed by the posterior cerebral arteries, MR angiography can also be performed to check for obstruction in these arteries to likewise determine if anticoagulation is indicated.