infundibular, outpouching, and risk

Posted by hendglenn2000 @hendglenn2000, Dec 30, 2021

COMPARISON: Prior CT angiogram of the brain 7/2/2018. Prior MR
angiogram brain 6/22/2018.
FINDINGS: Current exam once again demonstrates a 2 mm outpouching
along the basilar artery termination extending slightly to the left
of midline. There is evidence for is tiny vessels arising from the
apex of this outpouching could represent small perforating vessels or
tiny hypoplastic P1 segments. The configuration is similar to
previous exams. Findings favor infundibular configuration rather than
an aneurysm
There is mild narrowing of the mid right intradural vertebral artery
was not definitively seen on previous CTA exam. This area was not
included in the coverage field of the prior MRA exam. Findings may be
artifactual secondary in plane saturation effects. No other definite
significant stenosis of the intradural right left vertebral arteries
or basilar artery seen.. The right and left posterior cerebral
arteries are supplied primarily through the posterior communicating
arteries consistent with a functional fetal origins. This is
unchanged from prior.
The intracranial right and left internal carotid arteries as well as
the proximal right and left anterior middle cerebral arteries appear
grossly patent but significant stenoses or large branch occlusions.
No gross aneurysms of anterior circulation vessels are apparent.
Axial T2-weighted images once again demonstrates postoperative
changes of a right temporal lobectomy unchanged from previous. There
is evidence for small chronic right hypothalamic lacunar infarct also
unchanged from prior. Minimal partial opacification of left ethmoid This report has me very concerned since I lost my entire family to heart disease and stroke. I'm 60 and already had a stroke 5 years ago and wondering what action if any I should be pursuing?

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Hi,

1)What is you neurologist and/or neuro surgeon (if you need one or can ask saying?) If no symptoms I believe they possibly may tell you “infundibular“ things are significantly less of a risk than aneurism and 2mm is small and they may just consider watching it or not even be worried about it, but am totally guessing without knowing. Ask them.

2)was you right thalmic stroke symptomatic and if so what symptoms,. Was it a lacunar stroke from high BP or something else. If yes you need to manage risk factors.

3)what is this speaking to “ Axial T2-weighted images once again demonstrates postoperative
changes of a right temporal lobectomy unchanged from previous. ”

My questions and guesses for suggestions would e be:

1)maske sure your doctor is communicating with you or find another one and write down all your questions before your visit or email them on the portal. Sometimes in this area they don’t clearly know and each MRI changes what they say.

2)if you still have questions get a second opinion or ask them until answered. Write down their answers. …., if you do ever want a second opinion consider mayo or well rated docto/place if possible.

3)make sure you are following and managing all lifestyle recommendations for stroke and things and doctors may have given you after you had one (guessing like all patents risk factors include possible diet, exercise , weight and blood pressure, possibly meds). Possibly confirming no blood sugar issues is a big one or managing. Your doctor will know the risk factors if any to test or instruct.

Good luck.

Ps check out dean ornish on YouTube for cardiac stuff if you find interesting and helpful for cardiac things.

Good luck.

REPLY
@feelingthankful

Hi,

1)What is you neurologist and/or neuro surgeon (if you need one or can ask saying?) If no symptoms I believe they possibly may tell you “infundibular“ things are significantly less of a risk than aneurism and 2mm is small and they may just consider watching it or not even be worried about it, but am totally guessing without knowing. Ask them.

2)was you right thalmic stroke symptomatic and if so what symptoms,. Was it a lacunar stroke from high BP or something else. If yes you need to manage risk factors.

3)what is this speaking to “ Axial T2-weighted images once again demonstrates postoperative
changes of a right temporal lobectomy unchanged from previous. ”

My questions and guesses for suggestions would e be:

1)maske sure your doctor is communicating with you or find another one and write down all your questions before your visit or email them on the portal. Sometimes in this area they don’t clearly know and each MRI changes what they say.

2)if you still have questions get a second opinion or ask them until answered. Write down their answers. …., if you do ever want a second opinion consider mayo or well rated docto/place if possible.

3)make sure you are following and managing all lifestyle recommendations for stroke and things and doctors may have given you after you had one (guessing like all patents risk factors include possible diet, exercise , weight and blood pressure, possibly meds). Possibly confirming no blood sugar issues is a big one or managing. Your doctor will know the risk factors if any to test or instruct.

Good luck.

Ps check out dean ornish on YouTube for cardiac stuff if you find interesting and helpful for cardiac things.

Good luck.

Jump to this post

lacunar stroke from high BP, I'm under a cardiologist's care and he's watching everything. He seems to think MRA findings are ok for now. Already on many meds which keeps BP at or close to good numbers averaging 120 over 80. A1C being monitored and sugar levels are below 7.

REPLY
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