Chronic ischemic small vessel disease and chronic ischemic white matter changes explained.
Dementia Prevention Center
Published at : 20 Jan 2021
Very often we evaluate individuals who are told they have chronic ischemic white matter changes - punctate lesions - white matter hyperintensities - white matter changes - chronic changes - age related changes - The descriptive list does go on a bit... In the end the individual struggles with the meaning of what the MRI shows. Keeping it simple - what you see is scar. If they do not grow in size then the condition is properly treated or has run its local course. If over time there are an increase in number of the lesions then you need to be sure and complete an accurate medical evaluation that will cover all of the main reasons for these lesions. Here we focus a bit on the most important aspect of a hypercoaguable state. A perturbation of the flow and clotting of blood that ends (Multiple system evaluation we can present in future video if requested).
chronic ischemic white matter changespunctate lesionsmicron stroke