Chronic Microvascular Ischemic White Matter Disease of the Brain on MRI

Tyvm You are doing a great public service. Many of us are scared, confused and our lives are a living hell bc we are worried. I appreciate your videos. Thank you dear.

You did an excellent job at explaining id of explaining this. The speed in which you speak and the tone are perfect. Sometimes it's not always easy to understand people when they talk fast or too loud or too soft. I was just diagnosed with Cerebral Small Vessel Disease because of a brain MRI that I had with and without contrast. I definitely have symptoms. That is what brought about getting the MRI. For a couple or more years I have been very forgetful but in the past maybe last year I see a big cognitive decline with a lot of confusion. Sometimes I can be standing in a group that is talking and I can hear them perfectly but I cannot understand what they are saying. I am a constant reader and always have been but lately I am having a lot of trouble reading. As I finish off reading the last half of the sentence, I cannot make any sense of it because I have already forgotten what the first half of the sentence was about. Sometimes, I just cannot make sense of the information that the person is trying to give me. I have never been a big drinker when I was young and I don't drink at all anymore. Not that I ever drank a lot to start with. I am one of those people who just can't stand the taste of alcohol. I get that "tip of the tongue" phenomenon. An example is not being able to recall a friend that I have known forever. I am also saying things to people that in the past I would never have said out loud. I used to be really liked and I has had a fun time wherever I go. However now, since depression set in about 10years ago with anxiety. I can't work and I only leave my house in I have a doctor's appointment. Im 55 yrs old and after all these years of driving, I suddenly hate to drive and am very nervous doing it. I lean against my wall when I am coming down the stairs because I feel like it i don't , I will fall down the stairs. I no longer have fun doing anything. I don't like to socialize and my immediate family hates me (husband and three 22 yr olds). I was hoping you could do a video on other diseases that this can lead into like for instance Frontal Lobe dementia or maybe it's called Frontal Temporal Lobe Detention along with other disease that this might turn or progress into. I was also wondering in general how long it took to lose your mind completely and what the average life scan generally is. I need to do a lot of preplanning because of how poorly my family treats me. I understand that some people don't want to know but I absolutely need to know or I am going to die in this house of abuse because pretty soon I will no longer be able to protect myself and speak up or maybe not even know right from wrong. I am my only advocate for myself.I am sure that that family will just leave me laying in pooh if it ever comes to that. I would also like a little more information on the disease covered. For instance, what type of things that are ingestion that can cause this. And if you are having brain tissue dying in your head, is it possible that this is happening to some degree all over my body. Is there anyway to grow neurons back? Would exercise bring on new brain cells or just maybe improve the ones that are still there? I have read many articles on depression which seems to be optimistic about growing new cells or maybe they were just talking about improving old ones. I am kind of bitter because I would spend my entire day for years reading and doing online courses, reading new things, working on learning new languages everyday but The MRI said when adjusted for age, my brain volume is in the lower 20 percentile. They also names a couple of specific brain areas that were also shrinking away I realize that you are not a substitute for my own doctor but the extra education would be so much help and so appreciated. I forgot to mention that I also have compete blackouts. Meaning that say two days ago I went to a doctor's appointment but two days later I will see it on my calendar and panic because I missed the appointment when if fact I did go but have absolutely no memory of it happening. Sometimes I will for forget an event or something I said and when someone mentions it I will vaguely remember it but with the blackouts I absolutely remember nothing. No matter what the person says to me to try to get me to remember. That scares me. I don't know how drunk people do that to themselves.

thank you for this...I was just dx by Neurologist and later went to my PCP and he laughed at me and told me EVERYONE has this and its nothing to be concerned about...He gave me a very hard time and I left there crying w/ BP through the roof.....I have a history of Migraines & hypertension ..I am typing this with a eeg in home monitor on for 4 days.....My Neurologist also scheduled for PET scan....My PCP was laughing telling me I dont need to change my diet or anything...cause having this is normal, im a 71 yr old (young looking and feeling lady ??? Cant understand why the primary care Dr was sooo careless with me about this...but what you have said is exactly what the Specialist Neurologist told me and family???

Excellent! Exactly what I was looking for. I am a registered nurse just told I have increased amount of white matter. This explanation beautifully and completely and clearly presents the information as well as the pictures. Thank you.

Thanks 😊. Just diagnosed from this disease. Last July falling to left, no balance, loss of speech , confusion and couldn't write or spell . Ambulanced twice within 3 weeks. I was Quoted Tias mini strokes. Placed on high doses of Statin. My cholesterol was 4 times higher which my family Dr known for 4 years . I complained about migraines and confusion 3 years ago. Had mri and he quoted all normal. After July had ultrasound and Mri . Shown left carotid blockage 70 % and right 50 %. Nero and cardiologist taken my case. Placed high doses of Stain to bring down inflammation and aspirin.. I had a different episode last January. Left shoulder to hand numb and no balance. Mri again. They called a specialist in to see me. He told me I have spots everywhere in my brain and had this problem since mri 3 years ago. WTH??? I said "why nobody mentioned this to me ?" He said "They probably thought my family Dr told me all this time. Go home and take higher doses of statin and another med and be close to your family. "I was in total shock and broken down. I just checked on info just now as taking Ritriptan for migraines. This is my 13 th pill 💊. I have flares back and forth . Question why I'm hypotension then hypertension back and forth. Heart rate average always 90 to 135. ? No point to be treated either way for that issue. My cholesterol is back to normal since September but the specialists said not yet to bring down med . Prevestatin 80 and plus another . I dropped them as to drugged up . My balance, speech, not as confused and my writing almost normal. My spelling still an issue. Stroke department kept saying I'm to young having this problem as mid 50s. This should be in late 80s. But its Genetic from my mothers side .

Ty for your explanation. I got this result from my MRI 2 days ago and it’s worrisome. You made me feel better. I don’t have HTN, diabetes not high cholesterol but am on aspirin regimen for high platelets count. I lost taste and smell prior to covid that’s what prompted my ENT doctor for an MRI. But I tell you though I will need to focus on taking care of myself. Ty so much!

thank you so much, Dr Evan. Very calming voice, but what's more, what you had to say about how common this condition is was quite reassuring. I can now relax a bit, at least until I see my neurologist next week. I'd been a bit depressed and nervous since yesterday when I read the results of my MRI the day prior on my patient portal.

So happy I found this

Thank you, Doctor Evan. This is by far the simplest and most forthright explanation I have been able to find in its detail and in simpler terms that we patients can understand and use for further testing and/or lifestyle changes. God bless you in your specialty.

Be far the best explanation provided. Thank you for that, it really make a difference for a lot of people ❤

That was so informative. Thank you!

Thank you for this video and great explanation. My latest MRI has mild white matter changes written in the report and now I know what to look for on the images. Of course my doctor hasn't even looked at the report or images from 6 months ago, retired on me, and I have to be my own internet doctor. Subscribed...!

Thank you I have this. White matter disease. I have a long standing history of severe hypertension and I did have migraines at Puberty and menopause. My internist told me that mine were mostly caused by age. I am 76.

Thank you for your detailed explanation

Thank you for explaining to us about this matter. it relieves our anxieties and fear on this subject.

Excellent Video...Thank You! And Very Easy To Follow......

Thank you Dr. Evan for posting this very informative and well presented video. It is a very caring thing to do ❤. A new diagnosis like this can be very confusing and alarming for people.

Excellent presentation. You should teach a class on this to ER physicians. 😊

Great explanation - Thanks

Thank you. Excellent clear explanation and illustration. FYI the speedy clicking through different levels was somewhat hard to follow visually.