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Stroke

Mild cerebral atrophy

09/10/2008

Question:

Last year, I had, for days, a burning sensation and head-ache inside the head and after a MRI of brain, it was confirmed that I was suffering from Venous Angioma. I was not given any treatment. Later I approached a Docto who practises both Allopathic ad Ayurvedic treatment. I am under his treatment for the past 10 months and there is considerable improvement. This week , the doctor advised me to have another Brain MRI done, which I obeyed. There was no indication of Venous Angioma in the report, but the new report says there is Mild Cerebral Atrophy. I was told by the Doctor and radiologist that there is nothing to worry about. My own doctor told me that there is some decaying of brain cells, but that it comes with age. (I am now 64). He did not prescribe any treatment for this (Mild Cerebral Atrophy). But I am a bit worried.

Is there no treatment for Mild Cerebral Atrophy?

Answer:

There is no treatment for mild cerebral atrophy except to treat all vascular risk factors (high blood pressure, high cholesterol, diabetes, obesity, smoking, etc.). It is believed that these risk factors do potentially accelerate brain atrophy. We do tend to see some atrophy even in those who have healthy aging. In the worst case scenario, brain atrophy can be associated with cognitive dysfunction and eventually dementia. While atrophy can be seen without any cognitive change, it is important to be vigilant for cognitive changes which we never consider normal. I would recommend that you continue to work with your local physicians to monitor your physical and mental health.

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Response by:

Brett   Kissela, MD Brett Kissela, MD
Assistant Professor of Neurology
Director, Neurology Residency Program
College of Medicine
University of Cincinnati