Brief Answer:
means the vessel is slightly narrowed,this may cause the symptoms

Detailed Answer:

Hi,

The statement means that some part of the vertebral artery ( Vessel which takes blood to posterior part of the brain) is a bit narrowed. This can explain your symptoms, because this vessel takes blood to the posterior part of the brain, and whenever the supply is a bit less then needed ( possibly because of the narrowing), then the the dizziness can occur as the center is there in posterior part of the brain, similarly the part of brain that is involved in seeing is also located in posterior ( back) part of the brain , the blood supply to which is from the vertebral artery. ( This is similar like heart pain occurs when heart vessels are narrowed )
However i would advise you should now follow with an angiography of these vessels that would exactly find our to which extent the artery is narrowed and then if needed to decide about the treatment ( if this is confirmed to be the cause )
Regarding the cyst and polyp , these are not serious, and if you do not have any problem with it, ( like blocked nose,facial pain, face swelling,etc ) , they can be left untouched.


Hopes i have answered your question ; I will be glad to answer any thing else you want to know in this regards. Please feel free to ask anything you need to know .
Good luck

Regards,
Dr Rahman

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Brief Answer:
Though not very serious but it is of some.concern .

Detailed Answer:
hi , sorry for being late with the reply ,
infact the seriousness depends on the severity of stenosis , as how much is the stenosis ..as your report says it's mild so it may be little serious but still if it is producing symptoms ( and if the symptoms cannot be explained buy anything else ) then it is of some concern .The only thing that if there is stenosis there is a risk of stroke to happen in future , However this is not very high in little stenosis .
Commonest cause of stenosis is atherosclerosis. I just wanted to know if you have any risk factor for atheroesclerosis ? ( These include hypertensive, diabetes, obesity , dyslipidimia, strong family history of heart probelems)
you are right , that with contrast the sensitivity of of MRA increases to pick it , however MRA is pretty good even without Contrash , so contrast may not be needed .
further management would be decided on basis of your complete history , I think this would be your neuralogist who would be planning ahead .
once this is cofirmed that your symptoms are becosue of it ( it looks to be becosue of it but may have other causes ) and if the cause ios stenosis is atherosclerosis then they may advise you some cholesterol lowering drugs and blood thining drugs that may help alot . Sometimes ( but that's for severe stenosis ) they may arrange some surgory for it but it's not for mild stenosis .Here only controlling the risk factors( mentioned above ) may be all that is needed
I think u can talk to your neuralogist in more details to understand the full scenario.
I would be pleased and would try to explain it as much as possible if you need any thing to ask so please don't hesitate to ask me back .
Best luck .

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Brief Answer:
yes the trauma to neck may have a role,you can take asprin

Detailed Answer:
hi,
You are very right that neck problems can be the cause of this problem and having no obvious risk for atherosclerosis, and a definite history of trauma to neck , the latter may well be the cause as that is second leading cause. Because the artery travel through vertebral formem( holes in side of verterbrea ) and can be compressed there and the staining can be compressing over the artery during your push ups or strains.
Similarly caffeine potentially can cause stenosis(spasm) of arteries but it should not be permanent.
If there is no contraindication for use of asprin ( stomach ulcers, hypersensitivity ) you can use it for sure, however be advised to stick to the advice of your own consultant.

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