Suggest treatment for vestibular schwannoma
Patient: Recent MRI to rule out vestibular schwannoma (resulting in unilateral hearing / balance loss) reported "cerebral white matter T2 signal changes compatible with chronic microvascular ischemic disease".  Am I having mini-strokes?  Inner ear and auditory canals listed an normal / unremarkable.  How would you define  chronic microvascular ischemic disease.  (I was a nurse before entering engineering field.) Doctor: Hello. I have been through your question and understand your concern.Microvascular white matter disease is a normal feature found on most of the MRIs after a certain age. There is no treatment to this condition and is not really a stroke or ministroke. These are just perfusion changes in the level of artherioles, not artheries, which are thought to be related to hypertension.You should not be worried. This is a normal MRI.Hope this helps.Wish you the best health