@red79 Your symptoms must be affecting how you go about your life on a daily basis. What did the results of the MRI from last October show? I'd like to encourage you to talk with your primary care provider/GP about this since it sounds like the neurologist you saw last October hasn't followed up with you. It would be good if you and GP would come up with a plan for your next steps. A person diagnosed with cerebral (brain) small vessel disease needs to work with the physician on what is causing the disease and figure out what treatments are available so that the isn't a progression of the disease in the future. Will you call and make an appointment with your GP today?