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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Chronic White Matter Ischemic Changes. Have Giddiness. How To Proceed?

Dear Dr, My aunt 53 years old having gidiness for 10days, she underwent brain MRI and found • Chronic white matter ischemic changes.as conclusion. Also done MRI on MRI SCREENING OF CERVICAL SPINE , opinion received was • Mild posterior disc bulge at C3-C4, C4-C5, C5-C6 and C6-C7 level causing partial effacement of anterior subarachnoid space. No indentation on cord surface. Now she wearing collar, but found gidiness, sensaiton of vomitting etc., how to proceed furthur
posted on Mon, 11 Mar 2013
Twitter Tue, 12 Mar 2013 Answered on
Twitter Tue, 12 Mar 2013 Last reviewed on
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

MRI findings of brain suggest mild lack of blood flow to the brain (ischemic changes). This could be partly related to giddiness. She would require blood thinners such as aspirin. In addition, risk factors for brain ischemia such as diabetes, high BP, cholesterol, etc should be investigated for, and treated if found.

Cervical spine MRI shows features of mild spondylitis, and it is most likely not related to her dizziness. She needs to do neck exercises and physiotherapy for this.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad
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MRI Shows Chronic White Matter Ischemic Changes. Have Giddiness. How To Proceed?

Hi, Thank you for posting your query. MRI findings of brain suggest mild lack of blood flow to the brain (ischemic changes). This could be partly related to giddiness. She would require blood thinners such as aspirin. In addition, risk factors for brain ischemia such as diabetes, high BP, cholesterol, etc should be investigated for, and treated if found. Cervical spine MRI shows features of mild spondylitis, and it is most likely not related to her dizziness. She needs to do neck exercises and physiotherapy for this. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad