A member asked:

Right vertebral artery hypoplastic terminating in pica. lva elongated & in contact with medulla" is this a serious finding in an mri? have vertigo, parasthesia limbs, headaches. thank you?

A doctor has provided 1 answer

Yes, this can be a serious precursor to stroke. I have had a patient recently who presented with severe headache and had a left visual field cut due to the hypoplastic artery occlusion. The patient is 78 years old with no other CV pathology, no heart problems and no atrial fibrillation. There was occipital lobe ischemia on MRI but no hemorrage. We treated her with corticosteroids and anticoag.

Answered 11/23/2021

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