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.

Profile picture for keithl56 @keithl56

Sorry to hear of your diagnosis. I'm not aware of any support groups, but think that it would be a good idea.

I also have CSVD. It is scary knowing that you have a progressive disease without treatment options. It is insidious, but you may be fortunate and it might not manifest with serious implications for quite a while.

What happened that prompted testing that led to the diagnosis? Are you already symptomatic or was this found through routine testing? Have you been tested for CAD as well, since these go hand in hand with both being caused by the same mechanism (plaque build up)?

Hang in there and enjoy life to its fullest before CSVD has a chance to impact your life.

If you want any information that I have researched or just want to vent please let me know.

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@keithl56 what is CAD?

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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 - wondering how things are going for you and whether the neurologist had any treatment options for your global microvascular ischemic disease?

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Profile picture for dle25 @dle25

Hi, I am 68, I too was diagnosed at the moderate level. I keep as busy as possible, however watch a lot of tv. Anything I do I am always fighting thru pain in my legs or worried about the dizzy thing, all very tiring. So I do a chore, sit down and repeat that all day. I drive as little as possible. I have two wonderful old dogs that are my life line they keep me going everyday. What do you find to do that is enjoyable?

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@dle25

Riding bike and reading. Joy of life though is not the same. Trying adapt, but it's difficult.

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Profile picture for arenee @arenee

Hi Keith,
Have not been tested for CAD.
In retrospect, it's easy to see a slight change over the last three years with employment history and other things. One year ago, I had a barrage of symptoms that ended up leading to an MS diagnosis, but my memory caused my neurologist to persist with more tests. An aEEG confirmed his suspicions of CSVD. He has just prescribed Oxcarbazepine which I hate with a passion, too many side effects, I see him again in April when I believe he will give me the dreaded 'D' diagnosis. I would love to know if this is hereditary as dementia as well as Alzheimer's runs in my mom's side of the family heavily.
As for your situation, do you take specific medications for either CAD or CSVD? Or just meds to control symptoms?
I appreciate the contact, any information is GREATLY appreciated.
Hang in there.

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Hi, @arenee - wondering how things are going for you with the symptoms you were experiencing and the oxcarbazepine?

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Profile picture for arenee @arenee

HelloJust started searching, are there good support groups for CSVD and resources?Thank you in advance for any thoughts, comments and suggestions.

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I just found out by coincidence that I have CVSD. I had a bad reaction to a vaccine that made my immune system go crazy, and all labs came back normal, so I suggested to my primary care provider should I get a brain MRI. Lo and behold, I found this out. I call this a blessing in disguise. I have a lot of fatigue, and the brain fog is unreal. I am waiting to see my cardiologist and neurologist. Does anyone else experience this? How do you deal with it?

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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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Profile picture for tc1945 @tcainaru

My balance is off and feel weak. Also lightheadedness, these are the main issues. What symptoms do you have?

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Those are mine as well. And often my head feels very heavy, as if it's too heavy for my neck, which throws my balance off even more.
My opthalmologist mentioned astygmatism, and adjust my lenses for that, only it made it worse. I'll be returning for another attempt.

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi, @g1315 - tagging a few members who may have more information to share with you on cerebral small vessel disease such as
@cheyne @tcainaru @dle25 @red79.

Which symptoms are bothering you most, g1315? Has anything helped with them?

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Thank you for tagging others. My symptoms are mostly my balance and my head feels very heavy at times, which is quite scary when going down my stairs. I stop and get myself stable before I take another step. I've started balance exercises again, and I'm thinking about getting a treadmill now that it's getting so warm outside.
I thought symptoms were post-stroke, but after 3 years, I wondered if it's more CSVD instead of post-stroke.

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My balance is off and feel weak. Also lightheadedness, these are the main issues. What symptoms do you have?

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Profile picture for g1315 @g1315

Hi, Debbie,
I'm wondering if you found more information about CSVD? I had an ischemic stroke in 2022 (I'm 74 now) and that was when I was told I have CSVD. I'd never heard of it before the stroke. Seems many of the people in this group who have that are experiencing the same symptoms I am, which I thought were from the stroke. Interested for any replies.

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Hi, @g1315 - tagging a few members who may have more information to share with you on cerebral small vessel disease such as
@cheyne @tcainaru @dle25 @red79.

Which symptoms are bothering you most, g1315? Has anything helped with them?

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