Doctor insights on:
Widened Dural sac: The covering around the spinal cord consist of several layers one of which is called the Dura. When this covering or sad about the spinal cord is widened in certain areas where it normally is not then the result may be herniation of nerve roots. There are several associations of congenital syndromes such as Marfan's and neurofibromatosis which can be seen with this type of presentation. ...Read more
Not necessarily: Dural ectasia is one of the major ghent criteria for the diagnosis; present in around 60 percent of mfs patients. You stay away from certain activities (lifting heavy weights, etc) if your dr advice; those might make it worse. But please check www.Marfan.Org, and remember stanford and mayo clinic, among other centers, have dedicated departments and lots of research going on. Don t get discouraged! ...Read more
I have dural ectasia and have constant pain and stiffness I dont have Marfan syndrome what can I do for treatment or type of doctor besides pain meds?
Back pain / ectasia: A condition like dural ectasia can be very troublesome. Besides pain medication, people with this condition may respond to physical therapy, surgery, stimulator therapy or muscle relaxant treatment. Recruiting a physiatrist or PMR doctor and a neurosurgeon to your team would be helpful. ...Read more
Size: Ectasia is usually a slight dilation and perhaps a long segment. Aneurysm is a significant dilation 2- 2.5 times normal and frequently a shorter length of involved vessel, but not always. Ectasia can expand to aneurysm size over time. Large aneurysms have a rupture risk an require intervention- surgery. ...Read moreSee 1 more doctor answer
Is a 3.8 CM ectasia of the descending aorta anything to be concerned about for a 50 year old male?
No: Depending on your body surface area, it may even be normal for your size. If there is any family hx of aneurysms or if you smoke (or used to smoke), you should have the study repeated in a year to confirm stability. ...Read more
How common is post lasik ectasia? What are the symptoms? Had lasik 6 months ago and am worried about this complication showing up years later.
Post LASIK ectasia: Today the incidence of post lasik ectasia in well--trained hands is quite low. There are several factors that are considered when evaluating a pt on the spectrum of possible future ectasia, i.E flap depth, ablation depth, residual stroma bed, young pt age, and preop measurements looking at cornea steepness, regularity, and stability using topography or scheimflug photog. ; refraction. Get checkd. ...Read moreSee 2 more doctor answers
Is a 3.8 CM descending aorta an ectasia or an aneurysm and what is the difference? can anything be done to decrease it or keep it from increasing ?
Aneurysm: The difference between an aneurysm and a ectasia is one of degree. An ectasia is a mild enlargement of the aorta that is less then 1.5 times bigger than normal. Bigger than that is called an aneurysm. The normal size is 2cm so >3.0= aneurysm. More then 5.5 is considered large. The most important factor is very good BP control. Dr will be following this with ultrasounds every 6-12 mo. Good healh ...Read moreSee 1 more doctor answer