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Doctor insights on: Vertebral Basilar Artery Occlusive Syndrome

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Dr. Gregory Moneta
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Artery (Definition)

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


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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 does it mean "Normal vascular flow voids are present in the distal carotid and vertebral arteries, the
basilar artery and the proximal anterior, ?

Normal arteries: Since the blood is moving during an MRI, the inside of the blood vessels appears to be a "flow void". This is the language used to report normal-appearing blood vessels. ...Read more

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What isa top basilar artery stroke?

What isa  top basilar artery stroke?

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

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Can the basilar artery be stented if it is not occluded?

Can the basilar artery be stented if it is not occluded?

Basilar Artery Steno: Yes it can, but the risk of embolic (blood clot) stroke and benefit compared to risk make the procedure used rarely. Anti coagulation is used more often for intracranial vascular occlusive disease. ...Read more

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How are basilar artery migraines diagnosed by doctors?

How are basilar artery migraines diagnosed by doctors?

Outdated concept: There's no such thing as basilar "artery" migraines.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

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How can a person have a clogged basilar artery when her carotids are clear?

How can a person have a clogged basilar artery when her carotids are clear?

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

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What are the consequences of having basilar artery migraine?

What are the consequences of having basilar artery migraine?

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

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How can I treat vertebro basilar artery insufficiency?

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

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What is the definition or description of: vertebro basilar artery insufficiency?

What is the definition or description of: vertebro basilar artery insufficiency?

VBI: Refers to a temporary set of symptoms due to decreased blood flow in the posterior circulation of the brain. The posterior circulation supplies blood to the medulla, cerebellum, pons, midbrain, thalamus, and occipital cortex (responsible for vision). ...Read more

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Can you tell me more about basilar artery migraines ps ?

Can you tell me more about  basilar artery migraines ps ?

BAM: Basilar artery migraines are an uncommon type of severe headaches which are accompanied by neurological signs (like vertigo, dizziness) and typically start at the back of the head. You can find more info at http://www.Achenet.Org/resources/basilartype_migraine/. ...Read more

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What is a basilar artery migraine?

What is a  basilar artery migraine?

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

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Do a lot of people get basilar artery migraine?

Not really: About 10 to 15% of the total population have migraine headaches. Basilar artery migraines are a specific type of migraine and are less common. ...Read more

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What can I eat to avoid basilar artery migraine?

Nothing: Unless you know of some food that triggers your migraine, which you can avoid, you can not eat any food to avoid migraine. ...Read more

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Describe the features of a basilar artery migraine.?

See your doctor: Please consider seeing your doctor and describing your symptoms without use of internet or medical book research. ...Read more

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What are the key symptoms of basilar artery migraine?

What are the key symptoms of basilar artery migraine?

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

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