Doctor insights on:
Tortuous Basilar Artery
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Medullary compressio: This is not an uncommon finding in people over 65 on mri scan. It is significant if you are having symptoms such as dizziness, black out spells or blood pressure fluctuations. It can frequently such be followed by a neurologic professional, but should generally be evaluated by someone with experience in cerebrovascular disease. ...Read more
Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?
Yours are?: Intracranial arteries may change slightly in caliber, and with bleeding may react with spasm, but do not become tortuous with severe headaches of any kind. However, over time with aging, the blood vessels do change angulation, but has nothing to do with headaches. ...Read more
An MRI to test for HCM says There is a tortuous descending aorta. There is an aberrant right subclavian artery which courses posterior to the trachea?
MRI answers nothing: The MRI answers nothing about HCM. The descending aorta being tortuous points to a long history of hypertension, smoking, and/or high cholesterol. The right subclavian normally passes in front of (not behind) the windpipe. This anomaly probably doesn't mean much, u were probably born with it. With HCM, you want to get an idea of how narrow the outflow tract (aortic valve) is, which is not given. ...Read more
MRI =Mild" thickening of heart muscle not HOCM. Tortuous descending aorta. Aberrant right subclavian artery which courses posterior to the trachea.??
Mild thickening's OK: See my comment to your previous post regarding the other findings (tortuous aorta, subclavian artery). The mild thickening of the heart muscle is common, and not necessarily from HCM. It could be the effects of long-standing hypertension. Keeping ur BP low with a -pril or a -sartan (Enalapril, Valsartan, etc.) could even reverse the thickening of the heart. Thanks 4 ur question on HealthTap, & GL! ...Read more
I have pulsatile tinnitus in right ear. I have been told there is no disease in carotid artery but the blood vessels are tortuous. Can I be cured?
Know the cause first: Before you can be treated (or attempted to be "cured"), you need to figure out the cause of the tinnitus. Many possibilities include hypertension, medications, infection, Meniere's, etc. See your physician for a complete evaluation. You might be referred toa neuro-otologist or ENT physician. Http://www. Nlm. Nih. Gov/medlineplus/tinnitus. Html ...Read more
Is there a treatment for internal carotid artery (tortuous) with left ear constant whooshing, mitral valve prolapse too?
Yes: For the noise in your ear they make noise damper devices. There is no medication in surgery would do a lot more harm than good as long as the blood flows normal in your Carotid artery. As far as mitral valve prolapse and you do have to have more information from your doctor cardiologist regarding treatment in most prolapse and without Regurgitation mitral valve does not require any treatment ...Read more
Basilar for brainstm: The top of the basilar artery is like a fork in the road. When a blood clot affects this area, small strokes can occur in the brainstem, causing numbness, weakness, trouble talking, eye symptoms, or impaired consciousness, and sometimes, more than one stroke occurs at the same time. ...Read more
No: Once occluded, stenting can't be done.Get a more detailed answer ›
Meds, reduce risks: This is generally from narrowing/blockage of the arteries to the back of the brain. Symptoms of this can vary, but often include dizziness, difficulty using an arm, loss of sensation of face/arm/leg. It is treated with antiplatelet medications (eg. Aspirin, plavix, (clopidogrel) aggrenox), controlling cholesterol, blood pressure, diabetes, cessation of tobacco use, and in some cases placing a stent. ...Read more
Outdated concept: There's no such thing as basilar "artery" migraines. The term basilar migraine dates back to a time when migraine pathophysiology was thought to involve arterial wall constriction followed by compensatory dilation. Basilar migraine was thought due to basilar artery spasm. This notion has been discredited; however, the term is firmly entrenched & we all use it & know what it means & doesn't mean. ...Read more
Yes: It can happen.Get a more detailed answer ›
Just is: The carotid arteries are anterior circulation vessels; you can think of them as supplying the front of the brain. The basilar artery is at the base of the brain and is created by the confluence of the two vertebral arteries, which are posterior circulation vessels. It is possible to have disease in only one of these vessels, or in all of them, or in any combination. ...Read more
Extensive: Manifestations include dizziness, vertigo, ataxia, visual disturbances such as double vision or tunnel vision, numbness and/or weakness in face/arms/legs, clumsy speech. This is often familial. A higher stroke risk exists with this type. Blood clotting abnormalities may be present predisposing to strokes. ...Read more
Brainstem origin: More common in woman, is associated with an aura of < than one hour followed by a headache. The aura produces a field cut (loss of vision) leading to temporary blindness, followed by ataxia, vertigo, tinnitus, nausea, vomiting, slurred speech, bilateral paresthesia, or a change in the level of consciousness. It affects all age groups and both sexes. The presentation can be confusing. ...Read more
See your doctor: Please consider seeing your doctor and describing your symptoms without use of internet or medical book research. ...Read more
Varied: In about 25% of patients, vertigo, slurred speech, and diplopia imply altered brainstem function. Commonly in adolescent women but also in others, total blindness and sensorial clouding accompanied by vertigo, slurred speech, tinnitus and distal/perioral paresthesias followed by a confusional state. The symptoms usually persist for 30 m followed by a throbbing occipital headache. ...Read more
If you suffer with basilar artery migraines, keep a journal of your attacks. The journal will help identify any triggers to your migraines. Avoiding these triggers can be helpful in reducing the frequency of the migraines. In addition, maintaining a healthy lifestyle can help. That means you need to:
get adequate sleep
limit your stress
diet can also affect migraines. Doing the foll. ...Read more
My sister says she has basilar artery migraine. Are family members more likely to get the same thing?
Could be.: This type of migraine falls under the list of 'migraine variants'. As such, it may not act like a 'typical migraine'. Patients with migraine variants can have symptoms other than headache. And yes, they can run in families. Talk to your sister and see what problems she was having that made her go to her docor. If you have had similar problems, talk to your doctor about them. ...Read more
Friend on facebook just diagnosed with basilar artery migraine. In my country we never heard that term. Is that something new?
Well known: This was nicely described by bickerstaff many years ago. The basilar artery supplies the balance center, vision areas, and nausea areas as well as regions that can cause confusion and disorientation. When these areas are primarily involved in a migraine attack, we refer to it as a form of basilar artery migraine. ...Read more
Neurosurgeon: I would start with a neurosurgeon. An interventional neuroradiologist might be involved as well. ...Read more
Can you tell me how to treat a case of basilar artery thrombosis with multiple infarcts. Pt is male 77, dm, ht?
I have a congenital abnormality of the basilar artery and right vertebral artery (small and foetal configuration). What exercises are safe / avoid?
Exercises: I would avoid strenuous weightlifting exercises.Get a more detailed answer ›
What does it mean "Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, ?
What is tortuosity of the basilar artery and the basilar artery impresses upon the lower brain stem.?
A radiologic descrip: I'll presume you're reading off a radiologic report that involves imaging the arteries within the brain. Description that an artery is 'tortuous' means its curvier than usual, and not abnormal; basilar artery sends blood to brain stem, located in basal part of skull in back of your head; whether any clinical significance to 'impresses on the brain stem' needs to be interpreted by neurologist. ...Read more
Basilar artery fenestration found (small) no aneurysm. F, age 53. Scared to death. Overweight, no other health problems. Is HRT ok?
"fenestrations" are found in normal people and by themselves is not harmful. As long as you are healthy you should stop the WORRY which is a lot more harmful to you as that uncommon but normal "variation" in your arterial brain circulation!!!!!
I can think of no reason why HRT would be contra-indicated due to that finding
Aneurysms are the only possible "complications" of this anatomic "variation" ...Read more
Are basilar tias a risk factor for ischemic stroke? My dad had a medulla stroke right below basilar artery, both of us have had bas. Tia in the past
Yes: Tia's are essentially strokes that don't progress to permanent damage. So any TIA is a risk factor for stroke. ...Read more
My dad (58) had a stroke 6 days ago right below the basilar artery. He has severe hiccups that only respond to thorazine (chlorpromazine). How long do they typ. Last?
Basilar migraine: What you did is good - but this is never preventative - they just merely reduce the likelihood of developing them. Also if you have them then doing what you did may help. Sometimes no matter how good you are - you still get the symptoms - the body is complicated. ...Read more
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