Doctor insights on:
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
Would cervical artery dissection cause 6 days slow gradual onset on off vertigo? 2 year HX of migraine. Vertigo getting worse each day.
4 year HX migraine. Feel like a lot of pain during migraine in cervical arteries, especially right side. Why is this? MRA shows small Right vertebral
Am I at increased risk of cervical artery dissection with my migraine history and intercranial hypertension?
Likely not: Both migraine and intracranial hypertension have varied causes most of which are not related to dissection of the vertebral or carotid arteries in the neck. Dissection is usually related to either trauma in the neck, systemic hypertension or fibromuscular dysplasia of the carotid or vertebral arteries which can by diagnosed by ultrasound or CT angiography. ...Read more
If stroke was being caused by cervical artery dissection, would there be any changes seen on a HEAD MRI and MRV? Or would neck have to be scanned?
Could headache mainly at base of skull, in very specific area one on one side, worse with head movement be cervical artery dissection? Feels muscular.
If stroke like symptoms were caused by cervical artery dissection, would this show up in MRV and MRI of brain. Or only a scan of neck?
Depends on timing: A CT or MRI can detect changes of edema (fluid) due to cell death within the brain. Often by the time these changes are seen, it is late in the process. Also this would tell us the arterial territory involved, but not that it is a result of dissection. Emboli or thrombus of an artery are more common causes of stroke. A carotid dissection is less common, though more common in vertebral artery. ...Read more
30 year old pregnant female with SVT on 40 mg of sotalol/day. Also have a reversed cervical curve. Having pain where cartoid arteries are?
Probably ok: Carotodynia is an old fashioned term used to describe nonspecific aching in the carotid bulb region. Other than feeling uncomfortable there is probably no serious repercussions. If visual changes, speech changes, or motor deficits are occurring then the discomfort needs to be checked out immediately by a local physician. Otherwise I would observe and not treat. Good luck with your pregnancy! ...Read more
Posterior cervical fusion which resulted in misplaced screw abutting vetebral artery. Surgeons recommend not to remove, may cause bleeding.
Complex descicion: Removing may very well be riskier than leaving it bleeding from the vert can be life threatening and of course stroke is ever present danger. Cerebral endovascular work has made recent great advancements you might ask interventionslist on the stroke team esp if there is a neuro surgeon on the team with cerebral endovascular experience if they have ...Read more
Can inflammation of head / neck arteries cause skin lesions on scalp, neck, head, face, cervical spine?
MRI was read, it said 'There is fusiform prominence of the left vertebral artery deforming the left side of the cervical medullary junction....
Review: When my patient's mri report comes back like that, I carefully review it with the radiologist, neurosurgeon, and a vascular surgeon to get as much information and advice as I can to see if further imaging studies should be done. This is a highly specialized situation that requires expert advice. ...Read more
Cervical spondylosis creating tension on artery, I get vertigo due to this when I bend my neck slightly down, is it dangerous? Could I get a stroke?
If you get vertigo, nausea, vomiting, or faintness by your head being in different positions then, you need a neurologist for a workup and plan to approach patient with either a neurosurgeon or orthopedist as necessary. I believe chances are extremely low for a stroke from what you've described, however, your neurologist can better answer that question.
Write me at: www. Healthtap. Com/drsaghafi ...Read more
If I'd had a cervial artery dissection 2 months ago, 1 clear cervical MRA, neurological examinations and seen doctors since. Is dissection unlikely?
Working it out...: So you have pseudotumor cerebri, & for some reason you're worried that a neck artery dissected 2 1/2 mo ago. "Cervical" means carotid or vertebral artery; they're NOT equivalent. You didn't bother to say WHEN the MRA was. The sooner it was done after the "event" the more likely you'd be to see a dissection. Even at 2 1/2 mo a dissection would have to heal awfully fast to leave no trace on an MRA. ...Read more
Can tear in vertebral and carotid arteries ever be seen on a cervical MRI? Or does it HAVE to be MRA or MRV?
My cervical mra results are: left vertebral artery demonstrates short segment focal high grade stenosis in mid portion. What does this mean? Surgery?
Possibly surgery.: For a young, asymptomatic female it may be the focal stenosis, (narrowing) is developmental, and no rx is needed. However, if there are neurologic symptoms referralable to brain stem function, this finding may indicate need for surgical or neurointerventional treatment. ...Read more
Noticed a pulsating lump in neck, feels like it is directly to the side of carotid artery. Aneurysm or not likely? Clean cervical MRI 6 months ago.
2 months since biopsy have Headache, dizziness, tachycardias, neck pain after cervical lymph node biopsy, could my carotid artery have been injured.
Last pregnancy had incompetent cervix. History of chylmadia and HSV 1. Have radial artery occlusion in right hand. How risky is pregnancy?
High risk pregnancy: More than likely, you will need a cerclage for your incompetent cervix with a new pregnancy. The radial artery occlusion was due to some clotting problem. You will need some injectable blood thinners as well. Your age also puts you in a higher risk category. I think you are a high risk pregnancy and would best be managed by a perinatologist, a specialist in high risk pregnancy. ...Read more