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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI And MRA Done. What Does Findings Suggest?

I have recently had an MRI and an MRA. I have the results on CD and a report from the radiologist. I have an appoint with a neurologist in a couple of weeks to go over the results, but I am concerned I may need help sooner. On my report it says: " Hypoplastic left vertebral artery demonstrating multifocal stenosis thoughout the neck essentially no flow in the distal intradural segment. Dominant right vertebral artery."
What does this mean?? Should I see my doctor sooner?? I am 65, female, active with spondylosis, and Ehlers-Danlos Syndrome, with a family history of aneurysms and ruptured aorta. I am getting dizzy a lot and foggy brained and forgetful, with ocular migraines almost daily and some little headaches throughout the day. Frequently, my heart races to 120 for no reason and I get out of breath very very easy. In the last few months I have had what feels like sudden drop in BP with sweats and recover in 15 minutes, but fatigued for hours afterward.
Fri, 26 Jul 2013
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Psychiatrist 's  Response
Hi,
Thanks for writing in.

As your report says, "Hypoplastic left vertebral artery demonstrating multifocal stenosis throughout the neck essentially no flow in the distal intradural segment. Dominant right vertebral artery."

Congenital variations in the arrangement and size of the vertebral arteries are frequently recognised, ranging from asymmetry of both vertebral arteries to severe hypoplasia of one vertebral artery on cerebral angiography. In a pathoanatomical study, hypoplastic vertebral artery (HVA) was defined as a lumen diameter of less-than-or-equal to 2 mm, but there is no consensus on this value.

Hypolastic Vertebral Artery is not rare in the normal population, and is frequent in patients with Posterior Circulation Strokes in brain. People with Hypolastic Vertebral Artery may have a high probability of Posterior Circulation Strokes, with atherosclerotic susceptibility and ipsilateral lesions in the vertebral artery territory on the side involved.

Your neurologist will explain it to you once again.

Hope this helps.
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MRI And MRA Done. What Does Findings Suggest?

Hi, Thanks for writing in. As your report says, Hypoplastic left vertebral artery demonstrating multifocal stenosis throughout the neck essentially no flow in the distal intradural segment. Dominant right vertebral artery. Congenital variations in the arrangement and size of the vertebral arteries are frequently recognised, ranging from asymmetry of both vertebral arteries to severe hypoplasia of one vertebral artery on cerebral angiography. In a pathoanatomical study, hypoplastic vertebral artery (HVA) was defined as a lumen diameter of less-than-or-equal to 2 mm, but there is no consensus on this value. Hypolastic Vertebral Artery is not rare in the normal population, and is frequent in patients with Posterior Circulation Strokes in brain. People with Hypolastic Vertebral Artery may have a high probability of Posterior Circulation Strokes, with atherosclerotic susceptibility and ipsilateral lesions in the vertebral artery territory on the side involved. Your neurologist will explain it to you once again. Hope this helps.