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Doctor insights on: Cervical Arteries

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Dr. Tiffanie Noonan
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Artery (Definition)

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


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Would cervical artery dissection cause 6 days slow gradual onset on off vertigo? 2 year HX of migraine. Vertigo getting worse each day.

Would cervical artery dissection cause 6 days slow gradual onset on off vertigo? 2 year HX of migraine. Vertigo getting worse each day.

Sure: Yes, Cervical artery dissection would cause vertigo, but so would migraines? I would say this, the vertigo tends to be a nagging problem but if you are concerned about serious causes of vertigo then seek work up. ...Read more

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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

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

Painful problems: Have - be patiently persistent. Even try alternative approaches if the Dr can't find a solution. A good eval by your Dr and perhaps a neurologist if they agree is 1st. Adequate migraine control is sometimes possible but can be elusive. Best! ...Read more

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Am I at increased risk of cervical artery dissection with my migraine history and intercranial hypertension?

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

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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?

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?

Yes,: Since a stroke results in ischemic damage to the brain, it will show up on the head MRI. A carotid dissection would likely require the neck to be scanned for diagnosis. ...Read more

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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.

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.

Unlikely: What you are describing sounds like a muscular headache. If there is some reason why you are particularly concerned about vertebral artery dissection then see your doctor. Signs of this would be confusion, difficulty with movement or speech. ...Read more

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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?

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

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Can you tell me more about cervical carotid artery dissection?

Can you tell me more about cervical carotid artery dissection?

Separation: Of layers of carotid artery. Stroke is the major risk. Depending on location and extent may be treated by blood thinners, surgery or stent placement. ...Read more

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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?

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

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Posterior cervical fusion which resulted in misplaced screw abutting vetebral artery. Surgeons recommend not to remove, may cause bleeding.

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

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MRI was read, it said 'There is fusiform prominence of the left vertebral artery deforming the left side of the cervical medullary junction....

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

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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?

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?

See Neurologist: 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

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If I'd had a cervial artery dissection 2 months ago, 1 clear cervical MRA, neurological examinations and seen doctors since. Is dissection unlikely?

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

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Pregnacy safe after uterine artery embolization for cervical pregnancy?

Pregnacy safe after uterine artery embolization for cervical pregnancy?

Pregnancy and UAE: Many studies have described successfully and, presumably, healthy pregnancies carried to term after uterine artery embolization. You will need to consult with your ob/gyn regarding your particular circumstance, especially given your history of cervical pregnancy. ...Read more

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Can tear in vertebral and carotid arteries ever be seen on a cervical MRI? Or does it HAVE to be MRA or MRV?

Can tear in vertebral and carotid arteries ever be seen on a cervical MRI? Or does it HAVE to be MRA or MRV?

Cervical MRI: Would not be adequate, further studies would be necessary even if the cervical MRI by chance happened to demonstrate a possible abnormality like a dissection or vascular injury ...Read more

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My cervical mra results are: left vertebral artery demonstrates short segment focal high grade stenosis in mid portion. What does this mean? Surgery?

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

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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.

Extremely unlikely: This lump may be due to a curve in the artery or just being closer to the skin. It may not even be the artery! An ultrasound of the carotid arteries will tell the story and is safe and painless. ...Read more

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2 months since biopsy have Headache, dizziness, tachycardias, neck pain after cervical lymph node biopsy, could my carotid artery have been injured.

2 months since biopsy have Headache, dizziness, tachycardias, neck pain after cervical lymph node biopsy, could my carotid artery have been injured.

Not really: Anything is possible but the injury would be unlikely, it would have been readily apparent if it happened at the time of biopsy and your symptoms are not consistent with a carotid eatey injury so I would guess your carotid artery is fine. ...Read more

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Last pregnancy had incompetent cervix. History of chylmadia and HSV 1. Have radial artery occlusion in right hand. How risky is pregnancy?

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

Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more