My father is a parkinson patient, doctor advised to go for mri brain plain with angio, here are the impression. Can you please advise. 1) mri brain reveals chronic small vessel ischemic changes in periventricular deep white matter of both front-parietal lobes, in bilateral centre semiovale and in subcortical deep white matter of left frontal lobe 2) mild cerebral and cerebellar atrophy 3) moderate atrophy of right hippocampus with prominent right choroid fissure and temporal horn. No obvious increased signal on flair images. 4) Mr. angio reveals no significant abnormality his left hand shakes and slowness and little numbness in left side and also he is getting swelling in legs, if he walks it will be fine, if benign at home his legs are swelling is it due to any of this. right now he is on below treatment tab syndopa 110 3 times a day tab bio homin once a day tab ecosprin av 150/20 once a day tab citanal 10 mg for bp once.
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Hello Lybrate user I think your father might be having vascular risk factors as evidenced by the white matter changes. But since he is having tremor of upper limbs, its less likely to be vascular pd. So continue syndopa, ecospirin and control of vascular risk factors. He needs follow up and asessment for response. Dose of syndopa to be increased if there is no response.
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How long does your father have bp. Sometimes poorly controlled bp can cause certain changes in the brain which can result in parkinson disease. Please continue all medicines. Leg swelling can be due to heart or kidney problem and will need further evaluation.
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