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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Severe Headache, Cracking Sound While Moving Head, MRI Shows AICA/PIC Complexes. What To Do?

Hello there, Im 44 yrs old and I had MRA/ MRI which showed a AICA/PIC complexes. along with mutiple small foci increased signal in the periventricular and subcortical white matter . My nerologist is dismissing these results. I ve been fatigued with massive headache on right side, I m hearing cracking of my neck when I move my head...oVERALL feeling lousy. t
Tue, 14 Oct 2014
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Radiologist,  's  Response
Hello

Anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) complexes are normal anatomical variations and it doesn't need any treatment.
Increased signal in the periventricular and subcortical white matter may be due to many reasons like ischemic changes involving small blood vessels(vasculitis),demyelination etc.
Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Proper treatment depend upon findings.

You also need follow up scan.

Take Care
Dr.Indu Bhushan
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Severe Headache, Cracking Sound While Moving Head, MRI Shows AICA/PIC Complexes. What To Do?

Hello Anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) complexes are normal anatomical variations and it doesn t need any treatment. Increased signal in the periventricular and subcortical white matter may be due to many reasons like ischemic changes involving small blood vessels(vasculitis),demyelination etc. Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia. So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. Proper treatment depend upon findings. You also need follow up scan. Take Care Dr.Indu Bhushan