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Medication for SMALL VESSEL VASCULOPATHY CHANGES in MRI.

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Hello .... Am looking for 2nd opinion for treatment. Am talking behalf my uncle who got symptoms of stroke. He is a 44 years. He went through a lot of procedures & blood tests. Been diagnosed & started on treatment ( Aspirin & Statin & amitriptlin as having almost continuous headache score 3 & head heaviness) He stay almost 1 week in the hospital. Next doctor appt. after 3 months & MRI appt after 6 months. MRI was showed small vessel vasculopathy changes/vasculitis and less likely due to demyelinating disease process. & MRA brain was normal images. but he went through many other procedures to make sure that there is no similar findings in the other part of the body as been told. *Echo 60% EF , in general was normal ... done in 1st week Jan 2015*Carotid doppler ultra sound *Visual potential *Trans esophegial echo* coronary CT in general normal. ... Done in 1st week Jan 2015 .. all been done . Seen also by stroke specialist physiotherapist Thrombophilia screening, panel still pending as it will take one week more. More blood test be done which i don't have a report of them , but was normal. only anti nuclear antibodies ANA was weak positive ratio.. I will download all the D/C papers which will be clear for u the all symptoms in details & all the procedures i will thankful if u guide me & reassure me if there is another treatment options for his case, whether its surgical or IV medications instead of these tablets as he was since long many years on statin ,, so how it will make different now ??????

Category: Neurologist, Medical

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Category: Pediatric Neurologist
 29 Doctors Online

Hi,

Thank you for posting your query at DoctorSpring.com

I have noted the details of your uncle and also gone through discharge summary.

I agree with the general lines of treatment. However, further work up is needed to exclude vasculitis, an inflammation of blood vessel walls. This can be best done with DSA- cerebral angiogram rather than MR angiogram.

I agree with the current lines of medications with minor changes. Best medications would be aspirin, rosuvaststin and flunarizine. Aspirin and rosuvaststin ar needed lifelong to prevent future risk of Stroke. Flunarizine would reduce the severity of vascular headache.

I hope it helps.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist


Dr. Sudhir Kumar
Category: Pediatric Neurologist
Experience: 
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
Dr. Sudhir Kumar and 4 other Medical Specialists are ready to help you

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