Clinical question: 78-year-old female with history of CVA. Now with slurred speech. Signs and symptoms: Slurred speech Nonenhanced head CT:Examination demonstrate mild to moderate findings of small vessel ischemic disease of indeterminate age in the subcortical and periventricular white matter of bilateral cerebral hemispheres. Exclude possibly to overlapping new stroke recommend an MRI exam.There is no evidence of hemorrhage, edema, mass effect or midline shift or hydrocephalus.
Small vessel disease of indeterminate age.