Cerebral Small Vessel Disease - How are you coping?

Posted by sue60 @sue60, Apr 11, 2016

I have vascular small vessel disease that so far just has caused a severe loss of balance. I walk with a cane, but it is getting harder. Likewise exercise is not easy. I still drive short distances. I feel perfectly normal lying down and it is so much easier to do that. The sad part is I don't really see anything that is going to end this as otherwise I am healthy. I know there are many worse things. Does anyone else have this and how are you coping?

Interested in more discussions like this? Go to the Stroke & Cerebrovascular Diseases Support Group.

Thank you gor sharing your experience.

Dr Pulliam, years ago, told me I had this. I did not really pay attention at the time. I witsh that I had!!
Now, i have major problems with it!!
He told me do not bend over or put my head down like that. He was spot on. If i bend over with my head down, down i got in a faint.
Dr Pilliam said to tell every medical person who touches me that I have this vascular disorder/dieade???
I do, some ask: what is that? None seem to care.

It helps me knowing laying down makes it better for you. Laying fown definately help mr!!
Sorry about spelling, loosing my eye sight.... i have had two strokes. Seizures. Damaged nerves back of ryes.
I wish you all the best.
Rise slowly it help little.
Ann

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Profile picture for JeanS @jeans

I've been diagnosed with Cavernous Malformation of the right temporal lobe. I had a MRI because I had severe headaches, some falling with black outs with weakness afterwards. I go into Mayo soon to find out more about it but wondered if anyone has heard of this? It seems to be kind of rare and sometimes inherited.

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@jeans ive had 3 strokes and only got told last year that i have a cavernoma thats been there tears but now its bled a few times. Hope your well

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Profile picture for nancywootten @nancywootten

Hi Coleen!

All the neurologist I talked to at home and Mayo said a no fat diet was best but that it was not sustainable. They just don’t know me very well at all! I’m a fat free vegan Natzi!! They also suggested another foreign language so I am learning Spanish. Music was suggested so I am learning ukulele. It is a blast. I even joined a beach ukulele group. It’s been a year and I feel no different at all. Just saw local neurologist and I passed all his cognitive tests. That was very exciting for me. I’m living life!!!!

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@nancywootten Hi Nancy, do you have any favorite dishes to eat? Do you have favorite cookbooks or chef online you watch for vegan fat free meals? I have not made a profile just yet but will soon. I have Atherosclerosis, I was told it was mild about 3 years ago. I have sick since in lots of different ways since. So I have not had to check since. I am almost afraid to check on it now. Eating low-fat and no meat would be great to do. I have done before in my life just not seriously like I want to now. I am waiting on an apartment. It will be even easier to eat this way after I move, Thanks for your time._____Carolyn

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Profile picture for foundryrat743 @foundryrat743

I have found that neuroplasticity works! I worked with a physical therapist for about 6 months, on balance and gait issues. I started out shuffling, and now I walk better. i work in balance exercises too! There has been a gradual improvement!

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@foundryrat743 That is encouraging. Gives me hope.

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I have found that neuroplasticity works! I worked with a physical therapist for about 6 months, on balance and gait issues. I started out shuffling, and now I walk better. i work in balance exercises too! There has been a gradual improvement!

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Trying adapt to balance loss. Scary because not being used to it and the change hits you. I wonder if the brain will find new connections to compensate neuroplaciticy.

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Profile picture for bdesteiguer @bdesteiguer

@lisalucier
Dear Lisa, I was recently diagnosed with small vessel disease and am looking for support. I have lots of appointments with doctors, but all they say is there's nothing I can do but exercise to keep the blood flowing in my brain, sleeping well and eating well. I am definitely doing that, but am still exhausted and mentally confused and with a sore scalp and some headaches. Is there really nothing else to try? I live in the Seattle area if anyone knows of someone knowledgeable about csvd in this area who might be accepting patients? I'd be interested in being in a research study or something, but it seems to be almost impossible to even get an appointment at the University of Washington. Thank you for your caring and time, Bonnie

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Hi @bdesteiguer - welcome to Mayo Clinic Connect. You have come to a good place for support. Feeling exhausted and mentally confused with a sore scalp and headaches would be a challenging way to live.

I'm tagging @4leigh @tcainaru @foundryrat743 @karen252 to see if they will share their experiences with you with CVSD and what they were told to do by their doctors. They also may know of a doctor you might see in your area in Seattle.

Bonnie - will you share more about the exhaustion you experience and how it affects your day-to-day life?

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi, @dle25 - wanted to check in with you to see how the brain fog, balance, headaches and fatigue are going lately?

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@lisalucier
Dear Lisa, I was recently diagnosed with small vessel disease and am looking for support. I have lots of appointments with doctors, but all they say is there's nothing I can do but exercise to keep the blood flowing in my brain, sleeping well and eating well. I am definitely doing that, but am still exhausted and mentally confused and with a sore scalp and some headaches. Is there really nothing else to try? I live in the Seattle area if anyone knows of someone knowledgeable about csvd in this area who might be accepting patients? I'd be interested in being in a research study or something, but it seems to be almost impossible to even get an appointment at the University of Washington. Thank you for your caring and time, Bonnie

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Profile picture for mwmc777 @mwmc777

Had Brain MRI today and diagnosed with Global Microvascular Ischemic Disease! See Neurologist in 2 weeks! Any treatment options? Had bad AFIB episode on Jan 28. 2025 and since have had issues with vision. balance, frequent headaches, fatigue, CT Scan during hospital stay did not show a new stroke, but had 2 in 2018 and 1 in Jan 2024 but recovered well from those. MRI in Jan 2024 following stroke did not show this new diagnosis! Had not had an AFIB episode for 15 months prior to the Jan 28th one, but these other lingering problems had me worried. Any suggestions on slowing/stopping this new progressive problem! 76-year-old female! Thanks!

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@mwmc777 I have had several lacunar strokes, along with my small vessel brain disease diagnosis!! Also, I have had a couple terrifying episodes of A/fib!! Docs recently put me on the expensive blood thinner, Eliquis! Now, this week, I have been scheduled to have the Boston Scientific heart implant “The Watchman” put into an appendage within my heart, via a vein, accessed from high on one of my legs. A small titanium balloon device is to be inserted in my heart, permanently, that will stop clots from forming in my heart, during an a-fib episode! So, perhaps, this could be an option for you, too! My ‘operation’ is scheduled for March 11,2026! So, have you or your Doctor discussed ‘The Watchman’ possibility solution, in your case? Also, if there is anybody reading this, who has had a “Watchman” implanted in their heart, I would welcome comments, and advice. on how the procedure went, and is it helping with their a-fib problem? Like, has anybody had a stroke, after a “Watchman” implanted, and has it affected their brain small vessel disease? I hope, going forward, that you will have less problems with strokes and a-fib. Small vessel disease is a difficult diagnosis to deal with! Good luck!

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Profile picture for dle25 @dle25

I too have been diagnosed with CSVD and would love to get more information and discussion regarding the disease and symptoms. I was diagnosed August 2024 at moderate level. Since then I have been miserable with brain fog, balance headaches and so very fatigued. About all I do well is sleep. I’d be interested to know what symptoms others are experiencing, at what levels, and anything more about CSVD. THANKS, Debbie

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Hi, @dle25 - wanted to check in with you to see how the brain fog, balance, headaches and fatigue are going lately?

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