Question 1

I was wondering what are the signs for carotid artery aneurysm?

Accepted Answer

Prominent neck pulsations and transient paralysis.

Question 2

What are the symptoms of a carotid artery aneurysm?

Accepted Answer

Abnormal pulsation in the neck, prominent  visible  structure in the neck, otherwise these aneurysms produce no symptoms. Rarely tia's or stroke sx are noted.

Question 3

Internal carotid artery dissection and exercise...my dissection has mostly healed (2mm aneurysm remains) over the last 20 months.  what kind of exercise can i do and at what intensity?

Accepted Answer

What was the cause of your carotid disease? Do you have generalized atherosclerosis? Was your dissection idiopathic? Do you have arteritis? How was it treated? Have you had a cardiac stress test since heart disease is strongly correlated with atherosclerotic carotid disease. Your question cannot be answered in a vacuum.

Question 4

Was originally told i had a dissection of my internal carotid artery.... now being told it is a pseudo aneurism..... what exactly is the difference?

Accepted Answer

An pseudoaneurysm is when there is a breach in the blood vessel (usually due to injury), but the bleeding gets trapped by the surrounding tissue forming a hematoma. A dissection is actual tearing of the layers of the carotid artery - in this case. In general terms, dissection tends to be more of a surgical issue.  In both cases, treatment depends on the size, etiology of the condition.

Question 5

Noticed a pulsating lump in neck, feels like it is directly to the side of carotid artery.  aneurysm or not likely? clean cervical mri 6 months ago.

Accepted Answer

Any trauma?
Most frequently something on top of the carotid.
Rare aneurysms.
Occasional twist or kink in older persons
mri would have spotted an aneurysm generally.

Question 6

A 1.3 x 1.0 cm posteriorly directed aneurysm is present arising from the left supraclinoid internal carotid artery. given the lack of internal flow related signal, the aneurysm may be largely thrombosed. no occlusion/ significant stenosis?

Accepted Answer

What is you question?

Question 7

What does it mean when an mra shows the intracranial right internal carotid artery is narrowed

Accepted Answer

An mra can show a area of mild to severe narrowing.  Usually this means that there is focal atherosclerosis of the vessel.

The consequence of the narrowing depends on how narrow the vessel is, where the vessel is, and if there are alternative routes for blood to use to reach the area of the brain affected by the narrowed blood vessel.

Question 8

What could cause peak systolic velocity of right internal carotid artery to be elevated to 130cm/s but no elevation in left ica & no stenosis found?

Accepted Answer

Sometimes what is being recorded is not the velocity in the internal carotid but an adjacent artery such as external carotid .  This could also be related to high flow situations or other technical factors.

Question 9

Does a 0.5 x 0.5 x 0.5 cm well defined saccular outpouching in the medial aspect of the supraclinoidsegment of right internal carotid artery dangerous?

Accepted Answer

A saccular aneurysm can be dangerous. Size is an important factor. You should talk to a neurosurgeon.

Question 10

Fell & hit head/neck on stair edge. experiencing pcs. right internal carotid artery shows elevated sys/dias & no plaque. caused by trauma or unrelated?

Accepted Answer

I presume this is based on ultrasound testing. How high is elevated sys/dis? What cause was seen? While plaque is not trauma related, other causes can be-e.g. carotid dissection or compression by hematoma, etc. If velocity elevation is severe more imaging may be warranted (CT or MRA). Hope this helps.

Right internal carotid artery aneurysm

I was wondering what are the signs for carotid artery aneurysm?

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Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

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What are the symptoms of a carotid artery aneurysm?

Internal carotid artery dissection and exercise...my dissection has mostly healed (2mm aneurysm remains) over the last 20 months. what kind of exercise can i do and at what intensity?

Was originally told i had a dissection of my internal carotid artery.... now being told it is a pseudo aneurism..... what exactly is the difference?

Noticed a pulsating lump in neck, feels like it is directly to the side of carotid artery. aneurysm or not likely? clean cervical mri 6 months ago.

A 1.3 x 1.0 cm posteriorly directed aneurysm is present arising from the left supraclinoid internal carotid artery. given the lack of internal flow related signal, the aneurysm may be largely thrombosed. no occlusion/ significant stenosis?

What does it mean when an mra shows the intracranial right internal carotid artery is narrowed

What could cause peak systolic velocity of right internal carotid artery to be elevated to 130cm/s but no elevation in left ica & no stenosis found?

Does a 0.5 x 0.5 x 0.5 cm well defined saccular outpouching in the medial aspect of the supraclinoidsegment of right internal carotid artery dangerous?

Fell & hit head/neck on stair edge. experiencing pcs. right internal carotid artery shows elevated sys/dias & no plaque. caused by trauma or unrelated?

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Right internal carotid artery aneurysm

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