Conversation: The conversation between human and AI assistant.
[|Human|] My husband age 70 had a tia 16 years ago - not dx immediately. His MRI shows cerebrovascular disease , small vessel disease and mild cognitive impairment which is thought to be organic and not psychiatric. This is all being dx as old age!! He has also been dx as possible change in behaviour and personality due to fronto subcortical white matter change. I have known him for 47 years. I thought it could be bv/ftd but as his brother has Parkinsons I now wonder if there could be a Parkinson s link.
[|AI|]  Hello, Thanks for the query, Let me tell you that in neurology practice, the MRI data must be correlated with clinical findings. It is the clinical data that is of paramount importance rather than MRI data. This MRI findings can be seen in patients with hypertension, diabetes also.  So we stress upon the disease that clinically evolves over a time. Further the symptoms that mark the onset of illness is very important in this neurological disorder. Parkinson's disease manifests as tremor, tightness of body, slowness of walking. The classic Parkinson's disease doesn't start with behavioral problem. Even though, the risk of Parkinson's disease in your husband is high due to family history, the current presentation is odd for the same. A possibility of front-temporal or vascular dementia is likelyPlease get evaluated by a local neurologist Hope this classifies