what treatment for occluded left vertebral artery in the brain?

Question

Why compressing both left and right common carotid arteries leads to brain death when vertebral arteries(and also circle of willis) still supply .

Answer 1

Antiplatelet meds: First, why is artery occluded? Could be due to local thrombosis, but could also be due to traumatic or spontaneous dissection. Secondly, are there risks for stoke such as diabetes, hypertension, high cholesterol/triglycerides, high homocysteine? Talk with your doctor re prevention, perhaps clopidogrel, aggrenox. Many areas need to be addressed.

Answer 2

Monitor, aspirin: If the artery is completely occluded, there is likely no medication or surgery that is needed. Reopening a totally occluded artery can actually cause injury to the brain. You should be evaluated by a neurologist to evaluate why the occlusion happened, such as whether there is a clotting disorder. Sometimes blood thinners such as daily Aspirin are needed to prevent further occlusions.

Answer 3

With immediate...: With immediate switch surgery, they do very well, usually without any consequences at all. Delayed surgery carries significant risks, however.

Answer 4

Require surgery: These days, transposition of the great arteries (tga) is sometimes identified on prenatal ultrasounds and otherwise is identified within hours after birth. In tga, the great arteries are reversed when leaving the heart, which means that oxygen-poor blood goes to the body. Tga is life-threatening if uncorrected, however there is a surgical procedure to correct the reversal.

Answer 5

Many Factors: There are many variants of tga and often many associated lesions. The most straightforward type usually requires an immediate catheter procedure called a "balloon septostomy" and a surgery within a week or two called the "arterial switch operation." there are other types that require other treatments. There'ss also a type called congenitally corrected tga that requires no treatment early on.

Answer 6

Early surgery: Surgery needs to be done in the neonatal period in most of the cases. They do well. All patients need life long follow up because they may still develop heart failure and valve problems late in life.

Answer 7

They do well: Babies born with transposition of the great arteries generally require surgery (arterial switch operation) within the first few days of life and the outcome these days is excellent.

Answer 8

Need to follow: Advances in heart surgery and postoperative care have significantly improved survival for individuals with tga. Most do very well from a cardiovascular perspective. However, as many as 30-40% will have some degree of neurodevelopmental delay (learning disabilities, adhd, language delays, et al). More evident with age. All of these children should undergo a careful neurodevelopmental evaluation.

Answer 9

Treated promptly...: They do well. Untreated they do poorly. Hope this helps m.

Answer 10

Good prognosis: If there are no other cardiac defects or other congenital abnormalities, children with transposition have a very good prognosis and life expectancy if they undergo a successful arterial switch operation in the first several days of life

Answer 11

Insurance covers: Get seen by your primary doctor and she will order to proper test (e.g. Mri, ct) for you. If medically indicated tests are 'covered' under medicaid.

Answer 12

Probably about $1000: The single best test for a possible brain tumor, if it is clinically reasonable, is an MRI of the head. The average cost for this is likely around $1000, but some facilities will have lower prices for medicaid patients. You should understand that brain tumors are uncommon in 20 year old people and are rarely self-diagnosed. See your doctor about your problems for a reasonable diagnosis.

Answer 13

Prophylactic: Whole brain irradiation is often used as a prophylactic treatment for patients who have been diagnosed with a cancer that has a high rate of metastasis to the brain. The idea is to prevent the growth of metastases that are too small to be seen.

Answer 14

Yes: It is more successful than creating lesions within the brain. It is especially good in younger onset patients- yet can be placed in middle age patients. The location of the stimulation is what the neurosurgeon will determine to achieve the best benefit. Look for a specialist in functional neurosurgery.

Answer 15

Yes Class 1 evidence: There is high quality medical evidence for significant benefit from dbs in parkinson's disease. See this link: http://jama.Jamanetwork.Com/article.Aspx?Articleid=183161.

Answer 16

Coronary arteries: Coronary arteries run on the surface of the heart and provide blood to the heart muscle. As a contracting muscle, the heart needs a continuing supply of nutrients like oxygen, glucose, fatty acids. If coronary blood flow is slowed or interrupted, such as by a coronary narrowing or a blood clot, the heart muscle will suffer and the patient will feel chest pain or there will be a heart attack.

Answer 17

Feed heart muscle: In humans usually two main coronary arteries come off the aorta to feed the heart muscle. The right coronary feeds the right side of the heart and some of the muscular wall between the two sides. The left coronary divides into the left anterior descending artery and the circumflex coronary artery. The arteries bring oxygen and food to heart muscle cells.

Answer 18

Feed heart muscle: Coronary arteries provide fresh blood (including oxygen & nutrients) to the heart muscle itself. The heart muscle is so thick that the blood inside the heart can't penetrate the thickness of the heart muscle enough to provide adequate blood flow. Since the heart is always active, it needs a constant & large amount of blood.

Answer 19

Heart's supply: They supply blood to the heart muscle itself (not to be confused with the blood inside the heart's chambers which is delivered to all other organs).

what treatment for occluded left vertebral artery in the brain?

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