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Describe The Features Of A Basilar Artery Migraine
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Size & location: It depends on the location, the size, the rate of growth & whether it has leaked or ruptured. Throbbing headaches which stay in one location are common but must be distinguished from migraine. New onset seizure, partial loss of vision or symptoms of stroke are other typical presentations but none are specific. Ct or MRI can rule in/out an aneurysm reliably. ...Read moreSee 1 more doctor answer
Arterial tear: An uncommon cause of stroke, but among younger patients, it is one of the most common. Sometimes spontaneously, sometimes after an activity that involves sudden torsion to the neck, a tear may form along the three layers that constitute the arterial wall. This tear causes turbulent blood flow and predisposes to clot formation. These clots can then cause a stroke by blocking important arteries. ...Read moreSee 1 more doctor answer
Migraine: One of the theories behind migraines is that they're caused by over-stretched blood vessels in the brain, which stimulate pain receptors and cause the pain. The features of migraine include nausea and vomiting, light and sound sensitivity and (often) an aurora preceding the headache consisting of visual distortions such as flashes of lights and "sparkles.". ...Read more
Basilar skull fx: Basilar skull fracture is usually due to blunt trauma to the back of the head. It has unusual features besides from severe headache. Bruises may appear under the eyes ("raccoon eyes"), there may be bleeding behind the ear drum (only seen with an otoscope), and there may be clear watery fluid (CSF) running out the nose. You can also lose your sense of smell and have severe dizziness. ...Read more
Eyes and brain: Carotid cavernous fistula is usually a condition of trauma where the carotid artery becomes slightly torn in the cavernous sinus and allows arterial flow to occur into the veins of the cavernous sinus creating a high flow state to an area that normally handles low venous pressure. These require treatment and often are seen with bulging eyes and bruits in the eyes. ...Read more
Varied: In about 25% of patients, vertigo, slurred speech, and diplopia imply altered brainstem function. Commonly in adolescent women but also in others, total blindness and sensorial clouding accompanied by vertigo, slurred speech, tinnitus and distal/perioral paresthesias followed by a confusional state. The symptoms usually persist for 30 m followed by a throbbing occipital headache. ...Read more
Ischemic stroke: Carotid artery disease usually occurs at the origin of the internal carotid artery at the neck and results from plaque build up. The main concern is that blood clots may for from turbulent blood flow this plaque causes, and the clot may travel upward and block an important brain artery, causing a stroke. It is a common found and commonly treated cause for stroke. Several options exist. ...Read moreSee 1 more doctor answer
Often none: Unless it leaks, there would be no symptoms in most cases. Leaking can cause intense headache or stroke-like symptoms such as focal weakness, loss of speech or vision. Avm discovered after a minor stroke can be corrected before a major stroke. Family history of avm may prompt investigation in someone with no symptoms. ...Read moreSee 2 more doctor answers
Brain injury: Organic brain injury is not a disease in itself. Instead, this term refers to any number of conditions that frequently lead to decreased mental functioning, usually trauma, but causes may include infection (meningitis), poisons (carbon monoxide), tumors. With the iraqi and afghanistan wars there has been a dramatic increase in closed head injury with resulting brain injury. ...Read moreSee 1 more doctor answer
MRI brain find: presence of a persistent trigeminal artery and hypoplasia of the basilar artery? What is this I read its very rare & cause aneurysm?
Dodged a bullet: Persistent Trigeminal art. is associated with aneurysm in 14%, likely on a congenital basis. If one does not exist, it is unlikely to develop. http://thejns.org/doi/abs/10.3171/jns.1971.35.5.0601 Association does not prove causality, but we don't understand the embryology well enough to know the causes of aneurysms. ...Read more
Size & location: It depends on the location, the size, and the rate of growth. Recurring headaches which stay in one location are common but there are many other causes. New onset seizure, change in personality, partial loss of vision or symptoms of stroke are other typical presentations but none are specific. Ct or MRI can rule in/out a brain tumor reliably. ...Read moreSee 1 more doctor answer
Extensive: Manifestations include dizziness, vertigo, ataxia, visual disturbances such as double vision or tunnel vision, numbness and/or weakness in face/arms/legs, clumsy speech. This is often familial. A higher stroke risk exists with this type. Blood clotting abnormalities may be present predisposing to strokes. ...Read more
MRI brain find: presence of a persistent trigeminal artery and hypoplasia of the basilar artery? What chances my twin could have this too?
Depends on twin type: If you are in the denticle twin it is very possible your twin could have the same problem. If you are not and identical twin it is not likely. I would speak to your doctor who did the MRI about whether it would be wise for your identical twins do have a similar study. ...Read more
Location and degree: Tiny "lacunar" strokes which are pinpoint bleeds due to high blood pressure may go undetected whereas bleeding into the subarachnoid space from trauma, ruptured aneurysm, or congenital malformation may cause intense headache, seizure, coma and death. Depending on amount and location, a variety of stroke syndromes may occur. ...Read more
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