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Doctor insights on: Vertebral Basilar Artery Occlusive Syndrome

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Dr. Peter Ihle
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Artery (Definition)

Arteries are a type of blood vessels. We can divide blood vessels into 2 categories. Arteries are high pressure vessels which deliver (red) oxygen + blood out into the body. Veins on the other hand or low pressure vessels which return (dark) oxygent - blood from the body ...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Outdated concept: There's no such thing as basilar "artery" migraines.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?

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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