I had an incident a several weeks ago and as a result had a battery of cardio and neuro test (I already knew I have severe CAD). My EEG came back as abnormal so I had to have a brain MRI 2 days ago. Due to the holiday I haven't yet spoken with my neurologist. The MRI indicated chronic microvascular ischemia in my left frontal corona radiata. It also found a 3/4 inch cyst! I know that this means that lack of blood flow has killed off some brain cells but have no idea what this portend for the future. I already have a heart CAC over 1000 and bilateral carotid stenosis so I know that from a vascular health standpoint that these could all be related. I am otherwise healthy and active and only 64 years old.

I have been having some headaches, some loss of balance, and minor recall issues. Since the area of the brain affected is associated with cognitive ability I don't know if there is any relationship.

It doesn't seem that there is really anything to do other than maintain the same regimen I follow for my cardio health. Does anyone know what the usual progression of this disease is? I just started building a new house in Hilton Head and this news is a bit unnerving.

Thanks!