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Doctor insights on: Dural Ectasia

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What is dural ectasia?

What is dural ectasia?

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

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My CT coronary angiogram reported lm ectasia cx proximal ectasia with LAD proximal mild ectasia with irregularity what is the treatment?

My CT coronary angiogram reported lm ectasia cx proximal ectasia with LAD proximal mild ectasia with irregularity what is the treatment?

Usually...: Aspirin, statins and surgery depending on the severity. Your doctors will likely recommend a left heart catheterization to look at the arteries in more detail. Best of luck! ...Read more

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What is mild retinal vascular tortuosity?

What is mild retinal vascular tortuosity?

HTN retinopathy: Hypertension causes changes in the blood vessels of the retina, known as hypertensive retinopathy. One of these changes is an increase in the bending and waviness of the blood vessels along their path. Another change is hardening of the arteries, shown recently to be a precursor of dementia. Get checked for high blood pressure. This is a warning sign that can save you from death or disability. ...Read more

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Cure of brain dural av fistula?

Cure of brain dural av fistula?

Not enough info: I am sorry; that question is so general that it is impossible to give you a satisfactory answer in the 400 characters we're allotted. Are you the one with the a-v fistula? Has it bled? What does your neurosurgeon say? ...Read more

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Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?

Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?

Vertrebrobasilar: Were you started on full anticoagulation (warfarin/coumadin)? If so the bleeding gums could be secondary to therapy. The vertebrobasilar arterial blockage cannot be repaired surgically.You might be experiencing: dizziness, loss of balance, and incoordination. ...Read more

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Hypertensiveretinopathy with hypertensiveretinopathy with a marked degree of sclerotic vascular changes, some tortuosity, venous dialation. Discs/ mac

Hypertensiveretinopathy with hypertensiveretinopathy with a marked degree of sclerotic vascular changes, some tortuosity, venous dialation. Discs/ mac

No question here: Perhaps you are wondering if your eye is at risk in some way. You are young for such hypertensive retinal changes and might need a comprehensive look at diet and exercise which your family doctor could coordinate. ...Read more

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MRI brain results, atrophy & ex vacuo dilated lateral ventricles. TBI 10yrs ago. Headache, nausea, blurry/double vision. Is it acquired Hydrocephalus?

MRI brain results, atrophy & ex vacuo dilated lateral ventricles. TBI 10yrs ago. Headache, nausea, blurry/double vision. Is it acquired Hydrocephalus?

Possibly: Ex vacuo is usually ventricular enlargement due to decreased cerebral tissue. Usually asymptomatic, your acquired hydrocephalus and its underlying mechanism of traumatic brain injury are likely related to your symptoms. Please speak with your health care provider about symptomatic treatment. ...Read more

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Whats a "dural sleeve adhesion"?

Whats a "dural sleeve adhesion"?

Anatomy discreption: In spinal cord relation of nerve roots, surrounding dura in relation to spine, has sleeve like appearance, adhesions in this area are technically difficult to separate during surgery of spine. ...Read more

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Subcapsular and capsular arterial phase enhancement of liver. Focal capsular retraction @inferior rt hepatic tip along lateral margin. Layman's terms?

Subcapsular and capsular arterial phase enhancement of liver. Focal capsular retraction @inferior rt hepatic tip along lateral margin. Layman's terms?

See hepatologist: Arterial enhancement means that the area is dependent of arterial blood, usually meaning some type of inflammation or malignancy. Retraction means that the capsule of the liver is indented, concerning for scarring or cancer. With a definable mass, this would be concerning and necessitate a liver biopsy or repeat scan in a few months. See a liver specialist. ...Read more

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Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more

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Describe retinal vein occlusion?

Describe retinal vein occlusion?

Eye vessel problem: Retinal vein which drains the blood out of the eye gets occluded. This causes blurryness of vision, sometimes loss of vision. It can come suddendly. Elevated blood pressure and patients with diabetes are some of the risk factors. New treatments are available to control some of the problems due to closure of blood vessels in the eye. ...Read more

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There is fusiform aneurysmal dilation of 2 cm segment of extrahepatic proper hepatic artery, measuring 7 mm in maximal diameter ..plain English please?

There is fusiform aneurysmal dilation of 2 cm segment of extrahepatic proper hepatic
artery, measuring 7 mm in maximal diameter ..plain English please?

Keep your next appt: Due to weakness in the wall of that particular artery, the wall balloons out (aneurysm) & it's diameter is 7mm. The main risk it can cause to your health is rupture & subsequent bleeding. Rupture is more likely if you had multiple ones (you don't), if it was not caused by atherosclerosis (check with your doc), & if you're having pain. Keep your next appointment for follow up. Hope that helps. ...Read more

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What are the risks associated with epidural anesthesia misplacement/ dural puncture?

What are the risks associated with epidural anesthesia misplacement/ dural puncture?

The risks of epidura: Placed incorrectly include headache, high spinal, intravascular injection, and non-functional epidural. Your anesthesiologist will test the catheter and watch it set up. Most of these concerns will be eliminated at that time. ...Read more

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What's a petrous canal stenosis or a left focal congenital ica stenosis?

What's a petrous canal stenosis or a left focal congenital ica stenosis?

Risk of stroke: The internal carotid artery enters the skull through a canal in the petrous bone (one of the skull bones). Stenosis of the canal can occur with osteopetrosis that could extrinsically compress internal carotid artery. More commonly, atherosclerosis can lead to intrinsic stenosis of the carotid artery. In either situation, the individual is at increased risk of stroke. See physician soon. ...Read more

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What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

Need further testing: even though you have had your gallbladder removed . you still can form stones within the common bile duct. which will cause billiary pain. Have your doctor check your liver function tests---if elevated do an ultrasound of the liver ...Read more

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What does diffuse dilatation of common bile duct & mild dilatation of hepatic ducts mean? Maximal luminal (phenobarbital) diam. of common is 14-15mm. MRI sched. Liver

What does diffuse dilatation of common bile duct & mild dilatation of hepatic ducts mean? Maximal luminal (phenobarbital) diam. of common is 14-15mm. MRI sched. Liver

Dilated bile duct: The bile duct is the duct the drains bile out of the river and into the intestines. Dilated bile duct can be a sign of pancreatic, bile duct, liver,or gallbladder disease. It is an important sign, and it definitely needs to be evaluated until a cause is identified and taken care of. Do not hesitate to get the MRI and follow up with your doctor on the results. Good luck. ...Read more

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MRI vertebrobasilar hypoplasia right side theres robust flow void anastomosing the basilar artery w cavernous portion of internal carotid artery/mean?

MRI vertebrobasilar hypoplasia right side theres robust flow void anastomosing the basilar artery w cavernous portion of internal carotid artery/mean?

Normal variant: The arteries at the base of the brain can course in several different patterns but ultimately get the job done, that is, supply brain tissue. Your pattern is like your fingerprint. Some more unusual patterns have an increased association with aneurysms, but this would have likely been described if present and vertebro basilar hypoplasia, as in the picture, is pretty common. ...Read more

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Aortic root dilatation: what size bifore operation?

Aortic root dilatation:  what size bifore operation?

5.5 cm: Start thinking about it at 5.5 cm. If you have marfan's syndrome, 5 cm. ...Read more

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Foci of aneurysmatic dilation of the dital descending aorta?

Foci of aneurysmatic dilation of the dital descending aorta?

What size?: Typically they do nothing other than control blood pressure---and cholesterol risks----if you smoke--stop it is a definate risk for you aneursym They consider operating on anerursyms that are >5cm in size or any that are actively dissecting ...Read more

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What is dural ectasia?

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

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Will my Marfan syndrome related dural ectasia keep getting worse?

Will my Marfan syndrome related dural ectasia keep getting worse?

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

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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

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Difference between aneurysm and ectasia?

Difference between aneurysm and ectasia?

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 more

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Is a 3.8 CM ectasia of the descending aorta anything to be concerned about for a 50 year old male?

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

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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 more

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Can you get mammary duct ectasia if you're a nonsmoker?

Can you get mammary duct ectasia if you're a nonsmoker?

Yes: much more likely if a smoker, see breast surgeon and get ultrasound and mammogram if concerned or feel something or nipple dishcharge or family history of such ...Read more

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Does duct ectasia always need to be treated with antibiotics?

Does duct ectasia always need to be treated with antibiotics?

NO: the cause of the ectasia must be determined.. Antibiotics are only used for bacterial infections. ...Read more

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Is a plugged nipple always duct ectasia?

Is a plugged nipple always duct ectasia?

NO: infection, inflammation. anatomical issues, nursing mothers, poorly fitting bras etc- you must be examined and if needed, imaged. ...Read more

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Can mammary duct ectasia turn into a malignant diagnosis instead?

Ectasia: Mammary duct ectasia is not considered a risk factor for breast cancer. If you have any persistent breast discomfort or lumps however, I feel it's important to be evaluated and followed by a breast surgeon. ...Read more

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How do I know if I have cornea ectasia? How common is it after lasik?

How do I know if I have cornea ectasia? How common is it after lasik?

Not common: There are special testing which can be done, i would suggest they be done by a corneal specialist. But the hallmark is unstable refractions, caused by unstable or changing corneas. ...Read more

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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 ?

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 more

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My xray highlights a discrete left renal pelvicalyceal ectasia not associated with urolithiasis?

My xray highlights a discrete  left renal pelvicalyceal ectasia not associated with urolithiasis?

Likely insignificant: Depends on degree of pelvi-calyceal ectasia. No problem if mild or moderate, but might require further investigation if this is in fact moderate or severe hydronephrosis (swelling containing urine). Some radiologists use these terms interchangeably. ...Read more

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I have abdominal aorta atherosclerosis. Ectasia of infra renal abdm aorta=2.1 cm.What to do? My dr. Says watch

I have abdominal aorta atherosclerosis. Ectasia of infra renal abdm aorta=2.1 cm.What to do? My dr. Says watch

He is right: Not much to do except quit smoking and repeat imaging. Be sure to go to same place for repeat test so that a change can be accurately measured. ...Read more

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Hello Doctors..i was diagnosed regenerative foveolar hyperplasia, lamina propria congestion, oedema , vascular ectasia. Any advice?

Hello Doctors..i was diagnosed regenerative foveolar hyperplasia, lamina propria congestion, oedema , vascular ectasia. Any advice?

Follow DR's advice: It is important for you to follow your DR's advice. Without a full medical history, and exam, it would not be wise to give you additional advice. ...Read more

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What does "minimal ectasia versus tiny aneurysm of the P1 segment of the left posterior cerebral artery" mean??

What does "minimal ectasia
versus tiny aneurysm of the P1 segment of the left posterior cerebral artery" mean??

Artery wider there: Slight widening of the cerebral artery compared to the majority of the artery. No need for concern but needs to be followed by serial scans. Suggest MRI because of less (0) radiation over the years ...Read more