Doctor insights on:
Four Vessel Cerebral Angiography
encompasses several medical imaging tests that visualize the anatomy and pathology of blood vessels. Standard angiography involves catheterizing a vessel and injecting contrast under X-ray visualization. Less invasive angiographic techniques include MR angiography ...Read more
Angio: If you have already discussed the risks/benefits of the procedure, and you and your team have concluded that this test is appropriate for your clinical situation, there is not much to do other than go for the appointment. They will probably tell you to take nothing by mouth after midnight, but other than that there is no prep on your part necessary. If you still have concerns, call your doc. ...Read more
What does coronary angiography mean all arteries are normal but all epicardial vessels are small in caliber?
Small: It means that there are no significant blockages and that the diameter of the normal arteries small. Probably they are in the 1-2.5 mm range rather than the 2.5-4 mm range. ...Read more
What does this mean
Triple vessel coronary artery disease needs clinical corelation and further evaluation with conventional angiography?
Triple vessel diseas: That statement means you need to see a cardiologist for further evaluation and perhaps additional testing or treatment. ...Read more
Result of Angiography: three vessel coronary artery desease. Preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?
Depends: If you're diabetic, CABG has better outcomes. If your LEFT MAIN coronary artery has >50% blockage, CABG has better outcomes. Aside from those 2 points, it depends on the skill of the team you have. If they do a lot of angioplasty, that would be preferred. If they don't but their surgical team is first-rate, then that would be preferred. ...Read more
Wht does ths mean
Triple vessel coronary artery disease needs clinical corelation & furthr evaluation with conventional angiography?no heart atack yet
All areas affected: The three vessels are the right side, the left anterior descending which is in front, and the left circumflex which is in the back and left side. Three vessel disease so is just all three major areas of blood distribution are affected. Clinical correlation refers to injecting dye into the arteries directly taking pictures and actually seeing how much blockage there is in the arteries ...Read more
Possibly: Small vessel disease can at times be seen with MRI, and sometimes there are additional focal changes in the deep white matter strongly suggestive of small vessel disease. Other time, contrast is needed. For example, a cluster of very small vessels and some developmental vascular lesions are only seen with contrast. The lack of findings on MRI does not exclude small vessel disease. ...Read more
70 yr female- diagnosed small vessel brain disease, cerebral athropy — stroke 10yrs ago balance and walking bad need cane what is prognosis?
Manage risks: Cerebrovascular small vessel disease builds over decades; we can't reverse it, but we can manage risk factors that caused it. Keep blood pressure on target. Manage blood sugar, prevent diabetes. Keep cholesterol & lipids on target. Do aerobic exercise at least 3 days/ week, more is better. Limit alcohol to 1 drink a day or less. Eat a healthy diet; limit fats, sodium & sweets. Good luck! ...Read more
In an article in the american heart and stroke association enlarged perivascular spaces on MRI are a feature of cerebral small vessel disease. True?
Not necessarily: Generally, when one speaks about enlarged perivascular spaces, that is just what it is. A larger space around the vessels as they travel in the arachnoid space in the brain. These are often called virchow robin spaces and are normal variant. Sometimes, small vessel disease can lead to microinfarcts that lead to atrophy. This loss of volume can lead to the appearance of larger perivascular spaces. ...Read more
What cerebral blood flow increasing drugs should I ask my neurologist about if I am having blood vessel constrictive issues effective my mental state?
Do IsosorbideMN & Nifedipine cause cerebral vasodilation or constriction? Dothey dilate some of bodys vessels/capllaries/veins and constrict others?
Isdn, nifedipine: These both are blood vessel dilators. They don't cause constriction. ...Read more
TIAs: Ossible, depending on location & extent of blockage. Consult a neurologist for more details. ...Read more
Periventricular isch chnges, infarcts both cerebral hemispheres incl rt parietal? Vascular event. Blood & vessels ok. Next check pfo, but could it be ms
Possible, but...: Fine to check for pfo, but real question involves potentials for stroke. You could have cadasil, which is a genetic disorder. A spinal tap could assist in diagnosis perhaps. Vasculitis, arteritis, even sjogren's might be considered. Description not necessarily ms, but part of considerations. ...Read more
Any way to reduce/eliminate cerebral small vessel ischemia/calcification reported on Er CT after running accident.
Ischemia: Acute ischemia is potentially reversible, but I suspect that what they found on your CT scan are chronic changes due to small vessel vascular disease. These changes represent damage already done and cannot be reversed. However, this is a relatively common age related finding, and depending on the severity may not result in any significant impairment. ...Read more
Mom is 65 years old. Was admitted for vertigo problem last week. MRI scan says diffuse cerebral and cerebellar atrophy is noted wid bilateral chronic small vessel ischemic changes. Wat does it mean? Is it really serious doctor? Need your help
Get clear diagnosis: First issue is to distinguish between vertigo of central vrs peripheral origin. Need to assure blood flow in vertebral/basilar vessels at base of brain. She does have a microvascular angiopathy, and could need medication to control stroke risks. Need to find out why the atrophy is so diffuse. Not clear to me that aging explains this. See neurologist. Could also try our Concierge service. ...Read more
Variable: A congenital aneurysm can burst when it enlarges to a critical size. Coughing, sneezing, straining may add to risk. Hypertension can cause brain hemorrhages via stroke or Charcot-Bouchard aneurysm. If you have concerns regarding your risk factors, a Concierge visit could counsel you. ...Read more
Small risk: The risk of stroke is less than 0.5% so it is small but there is risk . Other risks like other angiograms related to access site complication like bleeding or contrast reaction related. ...Read more
Does Cerebal Angiogram and MRI angiography both have same accuracy to detect a AVM? I perfer to have less invasive MRI Angiography.
Almost: A conventional cerebral angiogram is still considered the gold standard, but there is about a 1% chance of stroke from the procedure, plus other risks from needing to enter an artery. There is an advantage that if you have a treatable lesion, they can do a procedure during the angiogram. Otherwise, I almost always recommend the MR-angiogram or CT-angiogram because there is almost no risk. ...Read more
Lymph nodes: The central nervous system including the brain and spinal cord lack classical lymph vessels. There is a blood brain barrier to prevent or reduce the risk of infection entering the brain. The blood brain barrier may also explain why primary brain tumors rarely spread outside the brain. ...Read more
?AVM: I think you are trying to find information on an "arterio-venous malformation" or avm. ...Read more
Dysautonomia my brain vessels constrict and make me feel lightheaded, what drugs vasodilate only the brain?
Vasodilators: There are many vasodilators, but they're not necessarily specific to cerebral vasodilation. They include carbon dioxide, hydergine, papaverine, xenon, vinpocetine, YC-93, dipyridamole, etc. Many have been used to induce "cerebral steal" in the setting of stroke. See a neurologist to discuss the cause of your lightheadedness. http://www.nlm.nih.gov/medlineplus/ency/article/003092.htm ...Read more
Complex discussion: The answer depends on how you got this diagnosis. Many patients in 50s or older have non-specific, seemingly minor, findings on brain scan. Radiologists struggle with what to say about these minor, non-specific findings. Often they are given a label of "small vessel disease" more in service to providing a label than in service to confirming a brain state. Not an easy discussion. ...Read more
I believe you are asking which is better, MRI of the brain or mr angiography. An MRI of the brain details the structure and morphology of the brain as well as whether there is evidence of infarct (stroke), demyelination (ms) or a mass.
Mr angiography details the arterial vessels to evaluate for aneurysm or vascular disease.
They are often performed together. ...Read more
No.: Pain in the feet is much more likely to come from small vessel disease in the feet and involvement of distal nerves. ...Read more
Prevent brain damage: Following actions are associated with brain hypothermia:reducing cerebral metabolism, normalization of intracellular water concentration and intracellular ph, restoration of normal intracellular signaling mechanisms, restoration of protein synthesis and gene expression, inhibition of deleterious inflammatory products, attenuation of CSF platelet-activating factor, inhibition of cytoskeletal breakdown. ...Read more