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Neurocognitive Disorder and Microvascular Ischemic Disease of the Human Brain 🧠
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Microvascular Ischemic Disease
Medically reviewed by Gerhard Whitworth, R.N. — Written by Stephanie Watson — Updated on May 9, 2023
Microvascular ischemic disease is a term that’s used to describe changes to the small blood vessels in the brain. Changes to these vessels can damage white matter, the brain tissue that contains nerve fibers and serves as the connection point to other parts of the brain.
Small vessel ischemic disease is very common in older adults. If left untreated, it can contribute to mental decline, strokes, walking and balance problems, and dementia.
Microvascular ischemic disease is also called:
- small vessel ischemic disease
- cerebral small vessel disease
Symptoms
Microvascular ischemic disease can be mild, moderate, or severe.
Many older adults — especially those with a mild form of the disease — have no symptoms, even though there are areas of damage in the brain. This is called “silent” disease. In one study, up to 20 percentTrusted Source of healthy elderly people had silent damage in their brain, most of which was caused by small vessel disease.
Even though you might not notice any symptoms, you may have subtle changes in your thinking and physical abilities.
More severe small vessel disease can cause symptoms like these:
- loss of thinking skills (cognitive impairment)
- problems with walking and balance
- depression
If small vessel disease causes a stroke, symptoms can include:
- numbness or weakness, especially on one side of the body
- sudden confusion
- trouble speaking or understanding
- vision loss in one or both eyes
- dizziness
- loss of balance or coordination
- sudden, severe headache
A stroke is a medical emergency that needs to be treated right away.
Causes and risk factors
The cause of microvascular ischemic disease isn’t completely understood. It can be the result of plaque buildup and hardening (atherosclerosis) that damages the small blood vessels nourishing the brain. This is the same process that narrows and damages blood vessels to the heart and can lead to heart attacks.
Damage can block blood flow through the blood vessels in the brain, depriving brain cells (neurons) of oxygen. Or, it can cause blood vessels in the brain to leak and bleed, which can damage neighboring neurons.
Risk factors for microvascular ischemic disease include:
- high blood pressure
- high cholesterol
- aging
- smoking
- diabetes
- hardened arteries
- atrial fibrillation
Learn about Huntington’s Disease
How is it diagnosed?
If you’re concerned about your risks for microvascular ischemic disease, or you’ve had symptoms, see your doctor. The main test used to diagnose this condition is magnetic resonance imaging (MRI).
An MRI uses strong magnets and radio waves to create detailed pictures of your brain. Microvascular ischemic disease can appear on an MRI in a few different ways:
- small strokes (lacunar infarcts)
- white matter lesions that show up as bright spots on the scan (white matter hyperintensities)
- bleeding from small blood vessels in the brain (cerebral microbleeds)
Treatment options
Treatment generally involves managing the risk factors that contribute to small blood vessel damage in the brain. Which treatment strategy your doctor recommends will depend on your specific risk factors, but it might include:
- Lowering your blood pressure with diet, exercise, weight loss, and medication. The goal for people age 60 and over is a systolic blood pressure (the top number) below 150.
- Lowering your cholesterol level with diet, exercise, and statin drugs if needed.
- Taking B vitamins to lower homocysteine levels. Homocysteine is an amino acid that at high levels has been linked to atherosclerosis and blood clots.
- Taking aspirin or blood thinning drugs to prevent strokes.
- Quitting smoking.
Prevention tips
Follow these tips to protect the small blood vessels in your brain and prevent a stroke:
- If you’re overweight, work with your doctor and a dietitian to bring your weight into a healthy range.
- Follow a healthy diet plan, like the Mediterranean or DASH diet, which are high in nutrition and low in saturated fat, sugar, and sodium.
- If you smoke, choose a quit-smoking method that works for you. You might try counseling, nicotine replacement products, or medications that reduce your urge to smoke.
- Know your blood pressure, cholesterol, and blood sugar levels. If they are out of range, work with your doctor to control them.
- Exercise for at least 30 minutes on most days of the week.
- Limit or avoid alcohol.
Ask your doctor what other preventive steps you should take based on your personal risk factors.
Outlook
Ischemic small-vessel disease can be very serious, leading to stroke, dementia, and death if it isn’t treated. It causes about 45 percent of dementia cases and 20 percent of strokes.
The best way to avoid these complications is to prevent small blood vessel damage in the first place. Follow a healthy diet, exercise regularly, and take the medication your doctor recommends to control your blood pressure and cholesterol levels.
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Please pray for me because I really have these 2 brain diseases and disorders right now. I am very scared right now. Please everyone 🙏 pray for me because I really didn’t know that I have these brain problems. Please everyone get A MRI AND CHECK TO SEE WHETHER OR NOT YOU HAVE THIS DISORDER AND DISEASE OF THE BRAIN.
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daily-perseverance-3-day-preview.pdf
Do you believe in karma?
Do you believe in karma?
Do you believe in karma 🤔? It really depends on the situation because just it like it says in Galatians 6:7 Do not be deceived; God is not mocked. Whatever a man sows, he shall also reap. The difference is that what goes around goes around.
Karma is not taught in the Bible, as it is an Eastern religious concept tied to reincarnation, but Scripture does contain a related principle of cause and effect called “sowing and reaping”. [1, 2]
What is Karma?
- Definition: Karma is a belief from Hinduism and Buddhism where a person’s actions determine their future fate, often through a cycle of rebirth or reincarnation.
- The Core Idea: You get exactly what you deserve based on a moral scorecard of your deeds. [3, 4, 5, 6]
Why Karma Differs from the Bible
- No Reincarnation: The Bible teaches that humans live and die once before facing God’s judgment, rather than returning to earth in new bodies. Hebrews 9:27 says, “People are destined to die once, and after that to face judgment”. [3, 4]
- Grace Over Getting What You Deserve: Karma is based on earning your way, while the Bible teaches grace—receiving God’s unmerited love and forgiveness even when we do not deserve it. Ephesians 2:8-9 states that salvation is a gift from God, not earned by good works. You can read more about these differences on Bible.org. [3, 6, 7]
The Biblical Concept: Sowing and Reaping
- Cause and Effect: The Bible uses farming as a metaphor for human behavior. Galatians 6:7 says, “A man reaps what he sows”. [8]
- Moral Choices: If a person chooses a lifestyle of sin or harm, they will harvest negative consequences in their life. If they live to please God, they reap spiritual blessings and eternal life. [7, 8, 9]
- Not an Impersonal Force: Unlike karma, which operates as an automatic, impersonal cosmic law, the biblical harvest happens under the supervision of a personal God who also offers mercy, redemption, and forgiveness to change a person’s outcome. [1, 2, 9]
Would you like to explore specific Bible verses about sowing and reaping, or do you want to compare grace versus works further?
[4] https://forwardinchrist.net
[7] https://www.gotquestions.org
[8] https://christianquestions.com
[9] https://www.compellingtruth.org
How do you write what people actually want to read with images 🤔?
How do you write what people actually want to read? Honestly, I want to inform everyone that most of the readers want someone to be honest and tell the truth about everything that they are saying. I want to inform everyone that I like to be transparent and sincere in all of my writings. I really feel that if I am very respectful to everyone and give an honest account of what I am talking about, then I am sharing what God and Jesus Christ would like for me to express to any audience. I would like to continue to tell the truth because the truth will set you free. I know that a lot of what I am literally saying is really based on my personal feelings and experiences that I will continue to share with any audience for the rest of my life. God and Jesus Christ, I am asking both of you to please help me to answer this question to the best of my ability 🙏 ❤️. Although this question is complex by nature 🙏, I am willing to give an honest account from experiences only. I hope and pray 🙏 🤲 that my answers to all of my questions are spiritually uplifting and capable of edifying everyone who reads all of my answers to these daily prompts. Thank you for allowing me to keep it real with everyone. In Jesus’ name, Amen and Amen 🙌 🙏 ❤️ 👏.
How do you write what people actually want to read?
How do you write what people actually want to read?
How do you write what people actually want to read? Honestly, I want to inform everyone that most of the readers want someone to be honest and tell the truth about everything that they are saying. I want to inform everyone that I like to be transparent and sincere in all of my writings. I really feel that if I am very respectful to everyone and give an honest account of what I am talking about, then I am sharing what God and Jesus Christ would like for me to express to any audience. I would like to continue to tell the truth because the truth will set you free. I know that a lot of what I am literally saying is really based on my personal feelings and experiences that I will continue to share with any audience for the rest of my life. God and Jesus Christ, I am asking both of you to please help me to answer this question to the best of my ability 🙏 ❤️. Although this question is complex by nature 🙏, I am willing to give an honest account from experiences only. I hope and pray 🙏 🤲 that my answers to all of my questions are spiritually uplifting and capable of edifying everyone who reads all of my answers to these daily prompts. Thank you for allowing me to keep it real with everyone. In Jesus’ name, Amen and Amen 🙌 🙏 ❤️ 👏.
What is the most spontaneous thing you have ever done with images 🤔?
What is the most spontaneous thing you have ever done? The most spontaneous thing that I have ever done is swim in the Great Miami River in Dayton, Ohio, as a child during the summer for 3 years from 1976 to 1979. I also slept inside of 2 garage cans when I was 12 years old because I was too afraid to go inside of my mother’s house back in 1977.
I also walked from Wright State University Nutter Center in Dayton, Ohio, to the Landmark Apartments in Fairborn Ohio quite a few times by myself at night. I do remember walking 8 miles from the Northland Village Apartments in Harrison Township to the lower Westside of Dayton, Ohio, simply because I had the scabies disease back in 1997. I also went to work with the scabies for 3 weeks as well.
I used to work at the Kroger Grocery Store located on the corner of Needmore Road and North Dixie Drive in Dayton, Ohio. I also walked all over the city of Charlotte, North Carolina, until I got accustomed to the city. I want to inform everyone that I really need all of your prayers because I have gained 86 pounds in less than a year this year. This is simply because I have been taking Invega medication 💊 for 14 years now. This medication has caused me to gain a substantial amount of weight on 3 occasions. For example, I remember 2 years ago I used to weigh 324 pounds, and I lost 80 pounds because I had contracted COVID-19 and pneumonia while I was in jail for a short period of time.
I lost weight and I ended up gaining the weight back because Invega increases your appetite for foods and drinks throughout any day of the week. As far as spontaneous behavior is concerned I remember killing 36 birds in one day back in 1982. I shot and killed 36 birds during daylight hours. These behaviors are not really spontaneous but radical because I was very angry during those times.
For 24 consecutive years off and on I had spent a considerable amount of money on women. I was responsible for fulfilling a serial appetite and addiction during that time. One more other thing: I remember getting scammed out of $16 977 dollars in Western Union funds and another $1550 dollars in Western Union funds from the years 2008 to 2010 and 2016 to 2017 respectively. I will admit that I had sent money to people that I didn’t know.
I just made a mistake by sending money to Accra Ghana Africa and I really felt like a complete fool because I thought that I was involved in a relationship with these women. To be honest with all of you worldwide I forgave all of the people who had scammed me out of money but these people didn’t forgive me in return. The only thing that I can say is that God already know who is responsible for scamming me out of my money. I have learned a very serious lesson; especially when it comes to dealing with all people.
God and Jesus Christ are responsible for saving my life. Thank you, Lord God and Jesus Christ, for keeping it real with me. Thank you for allowing me to answer this question to the best of my ability. In Jesus’ name, Amen and Amen 🙏 🙌 👏 ❤️.
What is the most spontaneous thing you have ever done?
What’s the most spontaneous thing you’ve ever done?
What is the most spontaneous thing you have ever done? The most spontaneous thing that I have ever done is swim in the Great Miami River in Dayton, Ohio, as a child during the summer for 3 years from 1976 to 1979. I also slept inside of 2 garage cans when I was 12 years old because I was too afraid to go inside of my mother’s house back in 1977. I also walked from Wright State University Nutter Center in Dayton, Ohio, to the Landmark Apartments in Fairborn Ohio quite a few times by myself at night. I do remember walking 8 miles from the Northland Village Apartments in Harrison Township to the lower Westside of Dayton, Ohio, simply because I had the scabies disease back in 1997. I also went to work with the scabies for 3 weeks as well. I used to work at the Kroger Grocery Store located on the corner of Needmore Road and North Dixie Drive in Dayton, Ohio. I also walked all over the city of Charlotte, North Carolina, until I got accustomed to the city. I want to inform everyone that I really need all of your prayers because I have gained 86 pounds in less than a year this year. This is simply because I have been taking Invega medication 💊 for 14 years now. This medication has caused me to gain a substantial amount of weight on 3 occasions. For example, I remember 2 years ago I used to weigh 324 pounds, and I lost 80 pounds because I had contracted COVID-19 and pneumonia while I was in jail for a short period of time. I lost weight and I ended up gaining the weight back because Invega increases your appetite for foods and drinks throughout any day of the week. As far as spontaneous behavior is concerned I remember killing 36 birds in one day back in 1982. I shot and killed 36 birds during daylight hours. These behaviors are not really spontaneous but radical because I was very angry during those times. For 24 consecutive years off and on I had spent a considerable amount of money on women. I was responsible for fulfilling a serial appetite and addiction during that time. One more other thing: I remember getting scammed out of $16 977 dollars in Western Union funds and another $1550 dollars in Western Union funds from the years 2008 to 2010 and 2016 to 2017 respectively. I will admit that I had sent money to people that I didn’t know. I just made a mistake by sending money to Accra Ghana Africa and I really felt like a complete fool because I thought that I was involved in a relationship with these women. To be honest with all of you worldwide I forgave all of the people who had scammed me out of money but these people didn’t forgive me in return. The only thing that I can say is that God already know who is responsible for scamming me out of my money. I have learned a very serious lesson; especially when it comes to dealing with all people. God and Jesus Christ are responsible for saving my life. Thank you Lord God and Jesus Christ for keeping it real with me. Thank you for allowing me to answer this question to the best of my ability. In Jesus name Amen and Amen 🙏 🙌 👏 ❤️.
