MRI shows diffuse cerebral atrophy. Doppler scan shows calcified plaque. Precautions needed?
Patient: Respected Doctor, My father age is about 68yrs. He is suffering from neurological problem.we took MRI&NECT DOPPLER scan In MRI scan shows that : 1-Lacunar Infarct/Prominent Virchow Robin Space In Left Lentiform Nucleus . 2-Glotic areas In Left Temporao-Occipital, occipital Region& Right Posterior Region Parietal Region. 3-Diffuse Cerebral Atrophy . In Doppler it shows that: 1-Circumferential calcified intial plaque in right internal carotid artery proximal to bifurcation causing about 55% narrowing. 2-Small calcified plaque in left carotid bulb and left internal carotid artery. sir, please tell me the precautions for my father. Doctor: Thanks for posting this question in HCM I have noted the findings  of various investigations. Please note that all these interpretation of the scans results are done in the context of a solid clinical data.  I wish you had mentioned about the exact neurological problem your father had like stroke, visual problem etc. Apart from this you should also have mentioned if he is a diabetic or he has hypertension and cholesterol related issues or not and o on. The investigations suggest that probably had strokes in various areas of brain. The Doppler shows cholesterol deposits. He needs blood thinners like Aspirin and/or clopidogrel to prevent it from happening again. His blood pressure and cholesterol should be checked and he will have to be on medicines for the same.  Hope this helps