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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat sbnormal doppler flow pattern of extracranial vertebral arteries?

I have a bad neck. I had an accident and a broken neck in 1973. In November 2010 I did a carotid duplex doppler on my neck and the results revealed Abnormal Doppler flow pattern of the extracranial vertebral arteries, most probably due to external compression by cervical disc disease. No evidence of stenosis in the extracranial carotid system. I always feel dizzy. What should I do? Hany ( YYYY@YYYY )
Mon, 11 May 2015
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Orthopaedic Surgeon 's  Response
hi
What is the position of cervical spine and discs on MRI? If abnormal osteophytes or disc protrusions are there your surgeon may think of removing the mechanical pressure by these and an MRI shall give a clear view.
If MRI shows no such obvious findings you may consult a vascular surgeon for abnormal blood flow reason.carotid artery or vertebral artery stenting may be considered an alternative if the vascular surgeon may deem it right.
occasional dizziness may be not so serious unless fainting and repeated giddiness happen .
Your Lipid profile(cholesterol,triglyceride,HDL,LDL,VLDL) needs assessment
Minor disc herniations settle with conservative treatment,exercises, anti-vertigo medicines, so depending on severity of symptoms,line of action needs to be worked out
With best Wishes
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How to treat sbnormal doppler flow pattern of extracranial vertebral arteries?

hi What is the position of cervical spine and discs on MRI? If abnormal osteophytes or disc protrusions are there your surgeon may think of removing the mechanical pressure by these and an MRI shall give a clear view. If MRI shows no such obvious findings you may consult a vascular surgeon for abnormal blood flow reason.carotid artery or vertebral artery stenting may be considered an alternative if the vascular surgeon may deem it right. occasional dizziness may be not so serious unless fainting and repeated giddiness happen . Your Lipid profile(cholesterol,triglyceride,HDL,LDL,VLDL) needs assessment Minor disc herniations settle with conservative treatment,exercises, anti-vertigo medicines, so depending on severity of symptoms,line of action needs to be worked out With best Wishes