H/a x 1 m- sinusitis: Consider treating sinusitis -see if resolution. The major lesion seen on contrast is aneurysm. MRI is very detailed so you can see many vascular aneurysms in non contrast MRI ( > 4 mm),. and they can do non contrast time of flight 3T MRA as well. The gold standard is digital substraction angiography. F/u w doc Also check c- spine, eyes, lyme dx and subclinical herpes( acyclovir)
Answered 2/2/2018
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