Doctor insights on:
Intracranial Vascular Calcifications
MRI and MRA brain: Yes, an MRI can visualize blood vessels but not well; an MRA (MR angiogram) is the optimal MR test. It uses gadolinium which is not a radio-iodine and is not kidney toxic. Gadolinium can be eliminated slowly however, if a person has kidney impairment, and then the gadolinium can enter dermal tissues. Radiologists are aware. ...Read more
Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?
Cerebrovascular Duplex Scan reveals bilateral homogeneous plaque present in carotid bulbs. No evidence stenosis/plaque in ICA. Lower stroke risk?
Commonly seen on MRI: Cavernous angioma is a cluster of tiny but abnormal blood vessels that can be seen in the brain or spinal cord. Many people never experience symptoms from a cavernous angioma and may never even know they have one. They do have a tendency to bleed and depending on the location and size, they can cause seizures or other neurologic symptoms. ...Read more
Often they are: A bruit is a noise that is heard with a stethoscope reflecting turbulent flow. IT can be a normal finding and is non specific. It is often associated with narrowing of arteries, however that is unlikely in a 33 year old. THe pest way to tell if you have "PVD" is to have a physician measure the pressure in your feet and calculate an "ABI" (foot pressure/arm pressure) value of 0.9 or more is normal ...Read more
See comments: Are you referring to radiology reading of an MRI of brain? In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis. Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk. Spots more likely from migraine or prior injury. ...Read more
Yes: It can.Get a more detailed answer ›
My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?
Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more
It depends on size: There is limited space inside the skull. So any space occupying lesion causes rise in intracranial pressure once it gets to a size above 1 or 2 cms. ...Read more
Hypertensiveretinopathy with hypertensiveretinopathy with a marked degree of sclerotic vascular changes, some tortuosity, venous dialation. Discs/ mac
Brain CT scan revealed intracranial hypertension. B12 deficiency highly likely will be established. Could CT scan be interpreted as brain shrinking?
No: The simple, brief answer is no, rather it is the opposite of shrinkage essentially. ...Read more
Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?
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
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