What are the signs of diabetic neuropathy in an MRI?

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I have gone through the attachments (attachments removed to protect patient identity). The MRI (magnetic resonance imaging) report says chronic ischemic changes suggestive of small vessel ischemia.

These changes are usually seen in people with underlying diabetes and hypertension and represent the longstanding nature of the two conditions.

The only way to prevent further progression of the changes is strict control of diabetes and hypertension. These changes in the brain will not lead to any disability.

However, you should understand that you are at increased risk of stroke, and hence, strict control of diabetes and hypertension is essential.

I hope this helps.

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One cannot reverse these changes but can only halt their progression. This is not an emergency as long as you have no neurological signs or symptoms. There is no medication to reverse these changes. Only a strict control of diabetes and hypertension will prevent progression.

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The neurological symptoms related to diabetes and hypertension cause small vessel damage or weakness of the arms or legs, asymmetry of the face, or a transient unconsciousness episode.

The symptoms are related to cervical spondylosis: stiffness of arms or legs and difficulty balancing while walking.

The neck's MRI (magnetic resonance imaging) report suggests that you may have a significant disc prolapse in the cervical region. Whether you need surgery or not will depend on the neurological examination.

I hope this helps.

Thank you.

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You are most welcome.