Doctor insights on:
Basilar Artery Tip Aneurysm
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
Basilar artery fenestration found (small) no aneurysm. F, age 53. Scared to death. Overweight, no other health problems. Is HRT ok?
"fenestrations" are found in normal people and by themselves is not harmful. As long as you are healthy you should stop the WORRY which is a lot more harmful to you as that uncommon but normal "variation" in your arterial brain circulation!!!!!
I can think of no reason why HRT would be contra-indicated due to that finding
Aneurysms are the only possible "complications" of this anatomic "variation" ...Read more
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.
Association does not prove causality, but we don't understand the embryology well enough to know the causes of aneurysms. ...Read more
Just diagnosed 6mm basilar artery aneurysm, mra done lastnight top of neck is swollen severe headache one of the worst entire head pounding what shoul
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. ...Read more
Outdated concept: There's no such thing as basilar "artery" migraines.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. ...Read more
Yes: It can happen.Get a more detailed answer ›
Just is: The carotid arteries are anterior circulation vessels; you can think of them as supplying the front of the brain. The basilar artery is at the base of the brain and is created by the confluence of the two vertebral arteries, which are posterior circulation vessels. It is possible to have disease in only one of these vessels, or in all of them, or in any combination. ...Read more
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
Meds, reduce risks: This is generally from narrowing/blockage of the arteries to the back of the brain. Symptoms of this can vary, but often include dizziness, difficulty using an arm, loss of sensation of face/arm/leg. It is treated with antiplatelet medications (eg. Aspirin, plavix, (clopidogrel) aggrenox), controlling cholesterol, blood pressure, diabetes, cessation of tobacco use, and in some cases placing a stent. ...Read more
No: Once occluded, stenting can't be done.Get a more detailed answer ›
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. ...Read more
See your doctor: Please consider seeing your doctor and describing your symptoms without use of internet or medical book research. ...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
Medullary compressio: This is not an uncommon finding in people over 65 on mri scan. It is significant if you are having symptoms such as dizziness, black out spells or blood pressure fluctuations. It can frequently such be followed by a neurologic professional, but should generally be evaluated by someone with experience in cerebrovascular disease. ...Read more
If you suffer with basilar artery migraines, keep a journal of your attacks. The journal will help identify any triggers to your migraines. Avoiding these triggers can be helpful in reducing the frequency of the migraines. In addition, maintaining a healthy lifestyle can help. That means you need to:
get adequate sleep
limit your stress
diet can also affect migraines. Doing the foll. ...Read more
My sister says she has basilar artery migraine. Are family members more likely to get the same thing?
Could be.: This type of migraine falls under the list of 'migraine variants'. As such, it may not act like a 'typical migraine'. Patients with migraine variants can have symptoms other than headache. And yes, they can run in families. Talk to your sister and see what problems she was having that made her go to her docor. If you have had similar problems, talk to your doctor about them. ...Read more
Friend on facebook just diagnosed with basilar artery migraine. In my country we never heard that term. Is that something new?
Well known: This was nicely described by bickerstaff many years ago. The basilar artery supplies the balance center, vision areas, and nausea areas as well as regions that can cause confusion and disorientation. When these areas are primarily involved in a migraine attack, we refer to it as a form of basilar artery migraine. ...Read more
Neurosurgeon: I would start with a neurosurgeon. An interventional neuroradiologist might be involved as well. ...Read more