Doctor insights on:
Basilar Artery Stenosis Treatment
What is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?
Depends: Artery disease in the neck vessels (carotid/basilar) is associated with risk for stroke. Your doc, vascular provider can best assess all the associated factors and give you a risk assessment. Treatments vary from medical management, nicotine cessation, stenting, surgery and combinations of them all.See 1 more doctor answer
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
See below: Carotid artery disease means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will reduce the risk of stroke.See 2 more doctor answers
If indicated: The indication for this has been questioned but if its apropiate then a few days at best to let the groin heal up snd your fine.See 1 more doctor answer
RAS: RAS due to atherosclerosis (ASO) more often than fibromuscular disease (FMD) Medical treatment does not alter RAS but can control BP. RAS can progress to occlusion. Controlling ASO risk factors appropriate. Open renal bypass infrequent. Angioplasty/stent more common but controversial. PTA probably Rx of choice for FMD. PTA/stent for ASO if flash pulmonary edema, uncontrolled BP, renal failure.See 2 more doctor answers
See below: Renal artery stenosis is narrowing of the kidney arteries most commonly due to cholesterol plaques accumulating inside the walls of the blood vessel. There are other causes as well. A cathetor can be inserted into the blood vessel and a balloon can be inflated to restore the lumen size. A stent is inserted to keep it open. There are surgical options in special circumstances, .See 1 more doctor answer
Stent or medical.: There is no difference in outcomes when using a renal artery stent or medical therapy to treat renal artery stenosis. Therefore a person can get a stent placed by a vascular surgeon to treat the condition or a person can take multiple blood pressure medications without having to undergo surgery to treat the condition as well.See 4 more doctor answers
I don't believe in unnecessary medical treatment. Do I really need to treat basilar artery migraine?
Depends on how bad I: The answer depends on how bad they are. If you can tolerate them without any issue then the answer is no. If they bother you then avoid triggers, exercise regularly, limit stress and get enough sleep (eg 7-8hrs min). Eat a well balanced diet, avoid medications and alcohol and smoking. Avoid dairy, caffeine wheat, chocolate, eggs, rye, tomatoes, oranges. There are some medications - talk to your md.See 1 more doctor answer
No cure: Migraine may be controlled, not cured. There are cases of spontaneous cure.
Basilar for brainstm: The top of the basilar artery is like a fork in the road. When a blood clot affects this area, small strokes can occur in the brainstem, causing numbness, weakness, trouble talking, eye symptoms, or impaired consciousness, and sometimes, more than one stroke occurs at the same time.
Outdated concept: There's no such thing as basilar "artery" migraines. The term basilar migraine dates back to a time when migraine pathophysiology was thought to involve arterial wall constriction followed by compensatory dilation. Basilar migraine was thought due to basilar artery spasm. This notion has been discredited; however, the term is firmly entrenched & we all use it & know what it means & doesn't mean.See 2 more doctor answers
Brainstem origin: More common in woman, is associated with an aura of < than one hour followed by a headache. The aura produces a field cut (loss of vision) leading to temporary blindness, followed by ataxia, vertigo, tinnitus, nausea, vomiting, slurred speech, bilateral paresthesia, or a change in the level of consciousness. It affects all age groups and both sexes. The presentation can be confusing.See 1 more doctor answer
See your doctor: Please consider seeing your doctor and describing your symptoms without use of internet or medical book research.See 1 more doctor answer
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.See 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.
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