Doctor insights on:
Sinus Of Valsalva Aneurysm
Can a rear-end collision cause any type of sinus problem? What about sinuses and hemorrhages?
1st CT (10/14) showed abnormal sphenoid sinus layering; repeat CT (1/15) says Paranasal sinuses: Normal
Unclear: certainly a nasal injury can cause problems. Bumping one's nose or having an airbag hit it is a common cause of nasal injuries/sinus problems but would expect to see an injury if it is there. ...Read more
In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more
Could thrombosis of the cranial venus sinuses be the cause of worsening 4year Idiopathic intracranial hypertension and neck ear and sinus pain?
Venous sinus : The cerebrospinal fluid (CSF) drains into the venous sinuses. Thrombosis of venous sinuses are likely to slow or impair CSF absorption which is likely to be associated with intracranial hypertension or worsening of this latter condition if present ...Read moreSee 1 more doctor answer
Anything : That decreases venous return leads to a reduction in volume to the heart. These changes will effect the intensity of murmurs. With the valsalva there ia a transient/ brief increase in output. The straining portion decreases venous return and will increase the intensity of the murmur.Heart rate will also increase. Standing abruptly will do the same. ...Read more
Brain aneurysm: A cavernous aneurysm is a common finding that if truly cavernous, indicates that it is located outside of the brain and generally carries a benign prognosis. It may be of concern if it gets sufficiently large (usually > 1.5 cm) and presses on important nerves. Treatment is usually endovascular, including now flow diverting devices. Smaller cavernous aneurysms are usually managed conservatively. ...Read more
My cardiac MRI showed persistent left sided superior vena cava drains into a dilated coronary sinus w/ mild dilation of the main pulmonary artery?
Mostly a normal: Variant. Every fetus has one, but in most it involutes before birth. 0.3% of the general population has one. It is the most common variation of the thoracic venous system. Left svc draining into coronary sinus is expected 90% of the time. Discuss with your doctor the significance in your case of the mild dilation of the pulmonary artery. ...Read moreSee 1 more doctor answer
Yes but very rarely: It is possible to have an infection in the heart which weakens the atrial septum (causing an aneurysm) or even creates a complete holes (atrial septal defects). This is a very rare finding though and the illness that caused it is generally quite severe. ASDs and atrial septal aneurysms are very common though and most just occur during fetal (i.e. baby) development . ...Read more
Is an intra atrial septal aneurysm along with an ASD or Pfo dangerous? Can this aneurysm rupture?
No not rutpure, but: Aneurysmal interatrial septum refers to the 1cm billowing of the interatrial septum around a vertical axis. The risk with a PFO or ASD, is that of thromboembolism and potential stroke. Refer to research work by S. Homma from Columbia University, NY who initially suggested a link between cryptogenic stroke and PFO. Consider antiplatet therapy, before closure device, if possible. ...Read more
Constant sinus pressure, ears always popping. Sinus CT shows "probably mucus cyst on floor of right max sinus and slight deviation to right. Surgery?
I have ear pressure bcz hyperpneumatised both frontal and maxillary sinuses.Mucosal polyp in both maxillary sinus, nasal septum deviation.Surgery need?
Sinusitis : Surgery is sometimes needed... See a rhinologist (an ENT sub-specialist) to sort out your options. In my practice around 15% of patients with your symptoms ultimately require surgery. Allergy , gerd , aspirin, sub-optimal medical treatment can all be to blame. If significant issues are not treated polyps can rapidly recur. I saw a patient who had undergone 63 surgeries for polyps - aspirin! ...Read moreSee 1 more doctor answer
If this showed on MRI with symptoms of IIH but no high opening pressure what could it be?
Small arachnoid granulation in the superior Sagittal sinus & non specific bilateral short segment narrowing of the dural venous sinuses between the transverse &
Can a septal spur cause excessive mucus secretions and/or sinus problems? Particularly of the ethmoid sinuses?
Can you have intracranial hypertension with an opening pressure of 18? Severe headaches & head pressure, pulsatile tinnitus, dizziness. Head/eyes/face pulsate in sync with my heartbeat. No optic swell
Yes: Normal opening pressure is up to 15. You can have all of the sx you describe with an opening pressure of 18. The lack of optic swelling is a good finding but it does not eliminate the need to address the pressure as a cause of your symptoms. Talk with your doctor about this, . ...Read moreSee 1 more doctor answer
I'm ocular hypertensive, iop at base 16 (controlled). Does weightlifting increase eye pressure? What about normal breathing vs valsalva maneuver?
Yes but . .: Weightlifting, breath holding and being upside down will cause an increase in the pressure in the eye temporarily. So also will rubbing the eyes and any other activity which puts actual pressure on the eye. These effects are temporary and your having controlled glaucoma should not be an issue. Pressure has to be elevated for a long time to cause damage. ...Read more