Conversation: The conversation between human and AI assistant.
[|Human|] have a hx acoustic neuroma on rt. 1996. x2 surgery. and small piece of tumor still present and unchanged. lately tingling hands feets and around mouth. which thought was from steroid that had been on for uri. and had larygoscope showed rt side vocal cord paralysis. had recent mri neuroma unchanged but again considered was chronic microangiopathic ischemic disease. can you explain microangiopathic ischemic disease to me and if it is something to worry about or could this be causing the tingling and also forgot to mention have had chronic headaches for a long time too?
[|AI|]  Hello MRI findings suggests chronic microangiopathic ischemic changes(due to compromised blood supply). These are generally due to involvement of small blood vessels. It is generally due to conditions like hypertension, diabetes mellitus, altered lipid profile etc. So, you may need clinical correlation and screening for these conditions. These are not very serious findings, and it only needs treatment of underlying cause. Get well soon. Take Care