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Problems about internal carotid artery dilation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Valvular Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hello
User :   Hi
Doctor :   how may i help you ?
User :   iam 26yr old male
Doctor :   tell me your query
User :   I recently had headaches and ear pain- My doc ordered a a ct scan and MRA of the brain - this is what was found - Tortuous and dilated supragelnoid segment of the right internal carotid artery - is this serious - he is sending me to a neurosurgeon
Doctor :   may i know your age and gender please ?
User :   26 male
Doctor :   and since how long have you been facing this problem ?
User :   2 weeks
Doctor :   well let me explain you whats going on here with you
Doctor :   but before that when is your appointment with the neurosurgeon ?
User :   jan 3rd
Doctor :   ok. now the Internal Carotid Artery is the major blood supply to the brain, the condition that have caused the dilation of this vessel are many
Doctor :   now we do can rule out some of them based on your age and gender ans some are specific in certain age group and gender
Doctor :   this artery supplies the side of your brain, thats why you were experiencing ear pain
Doctor :   well if it was very serious i can assure you that your physician would have advised you to go as soon as possible
Doctor :   some people without any underlying conditions do have a dilated arteries
Doctor :   thats why an expert opinion of a neurosurgeon is must
Doctor :   thats the correct approach you are going thru
User :   well he aslo said that my A1 and A1 segments of the right internal cartoid artery is absent
User :   is this a serious condition - what causes them to be dilated - what test will be done
Doctor :   you will undergo a series of advanced imaging tests like PET scan which is like a MRI but more detail picture is seen that will confirm the diagnosis
Doctor :   this does require a neurosurgeon opinion and according to his expertise
Doctor :   many diseases are self- limiting , that means thy go by it self. since you are not facing any neuro symptoms
Doctor :   so it will be advisable to get a check up
Doctor :   BUT please do remember if you feel the pain increasing or a very severe headache
Doctor :   you do need to go to ER immediately
User :   ok
Doctor :   is there anything else i can help you with ?
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