Is Chronic Microvascular Ischemia of the brain normal in 58 yr olds?

Posted by Kecia @keciac44, Feb 7 1:58pm

Hi, I had been having issues with memory, cognitive and daily headaches (which I almost never get) so I went to my GP. All my blood tests came back normal except for vit B was low. Doctor ordered an MRI for me.
MRI came indicating I have Multiple patchy T2 - FLAIR hyperintense foci with the bilateral supratentorial whit matter and pons attributed to Chronic Microvascular Ischemia. The neurologist told me this is a natural part of aging and there is nothing they can do to stop it or help it to get better. Any thoughts? Suggestions?
My dad died almost 2 years ago, at the age of 78, from Cerebral Amyloid Angiopathy, and after a little research I'm finding these two things are closely related. And reading some of your stories on here, I find it hard to believe there is nothing I can stop or at least slow it down.
Thank you for listening.
Kecia Parr

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

I was 60 when I had a stroke.

The MRI showed microvascular ischemia "consistent with age". I had enough to worry about, so I didn't really give it much attention.

In the ensuing five years, I've had my share of "senior moments", but I seem to be okay.

I still have plenty to keep me occupied health-wise.

There's some helpful information here:
https://my.clevelandclinic.org/health/diseases/22927-microvascular-ischemic-disease
From that page:
There aren’t specific treatments for microvascular ischemic disease. Currently, treatment focuses on reducing risk factors and staving off complications, such as dementia and stroke.

Every person will have different risk factors, so treatment is highly personalized. In general, treatment may include:

Adopting healthy habits, such as exercising and eating more nutrients.
Quitting smoking.
Taking medications to lower high blood pressure and regulate cholesterol and glucose levels.

I hope this helps.

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@scottrl

I was 60 when I had a stroke.

The MRI showed microvascular ischemia "consistent with age". I had enough to worry about, so I didn't really give it much attention.

In the ensuing five years, I've had my share of "senior moments", but I seem to be okay.

I still have plenty to keep me occupied health-wise.

There's some helpful information here:
https://my.clevelandclinic.org/health/diseases/22927-microvascular-ischemic-disease
From that page:
There aren’t specific treatments for microvascular ischemic disease. Currently, treatment focuses on reducing risk factors and staving off complications, such as dementia and stroke.

Every person will have different risk factors, so treatment is highly personalized. In general, treatment may include:

Adopting healthy habits, such as exercising and eating more nutrients.
Quitting smoking.
Taking medications to lower high blood pressure and regulate cholesterol and glucose levels.

I hope this helps.

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Thank you very much for your reply and information. It is very helpful and kind of nice to know I'm not alone.

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Never fear, you have plenty of brain cells left!

Give 'em a good workout and they'll last for many years to come.

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@scottrl

Never fear, you have plenty of brain cells left!

Give 'em a good workout and they'll last for many years to come.

Jump to this post

I sure hope so. My dad died at 78 almost 2 years ago from cerebral amloid angiography, which I'm learning is very similar to CMI. I'm pretty healthy but do have high cholesterol, I do take meds for it. I guess what happens happens all we can do is roll with it

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"Do not go gentle into that good night,
Old age should burn and rave at close of day;
Rage, rage against the dying of the light."

-- Dylan Thomas

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Oh my goodness. I am not a doctor so can't help you with your questions. But if you are so worried. And I would be too. I would want better answers from my doctor. Maybe you need to find a better doctor if you are not getting any answers. I will add you to my prayers and keep you on my mind. I know only what I did to recover from my stroke. Michele

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@keciac44

I sure hope so. My dad died at 78 almost 2 years ago from cerebral amloid angiography, which I'm learning is very similar to CMI. I'm pretty healthy but do have high cholesterol, I do take meds for it. I guess what happens happens all we can do is roll with it

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I would like to add how important it is to get outside and walk, walk, walk. I was so crippled from my stroke. I could not walk without a walker. But after a full month I was using my cane. Another few weeks I didn't need that.

I could not even sing Happy Birthday to my son when he turned 19. That is how bad I was in. Nor do I remember that event. The nurses came and sang to him at my bedside. It makes me cry to even to think about it. That's how much I was impaired.

Has your doctor informed you fully of your situation? If not get a new doctor.

You need to be reassured, not left in limbo.

Hugs to you sweet lady!!

Michele

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