Enlargement of an artery is called an aneurysm. It does not cause any symptoms until it ruptures, which can also be fatal. The risk factors for aneurysms are smoking and hypertension. Aneurysm of the arteries in the heart and the brain are the most common.
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My husband suffers from supracapular anuerysm. How to treat it?
Query: Hi doctor, My husband is 30 years old. He is generally in good health. Three weeks ago he noticed a pulsating mass above his clavicle. He has some shoulder pain, but no neurological or other symptoms. He went to his primary care physician and had an ultrasound yesterday, which reported that he has a... Read Full »
Answer: Hi, Welcome to icliniq.com. Aneurysms of blood vessels of the limbs are better treated than left alone because they will not decrease by themselves and can lead to rupture with day-to-day activity. The risk of rupture is increased with, Direct injury to the site. Raised blood pressure. ... Read Full »
What is the recommended treatment for splenic aneurysm?
Query: Hi doctor, A year ago, I was told that I have a 1.5 cm splenic aneurysm after a CT scan. This week I had an MRI with and without contrast. The report was 4.2 fusiform aneurysm dilation of splenic artery, 4.6 mm x 6.5 mm splenic saccular aneurysm and minimal mural thrombus. Calcified wall with 3.8 m... Read Full »
Answer: Hi, Welcome to icliniq.com. Splenic artery supplies blood to the spleen and it may become dilated over a small portion leading to aneurysm formation. Generally, small splenic aneurysms do not need any treatment but those of more than 2 cm should be treated. The treatment options are open technique... Read Full »
My spouse has grade 5 Spetzler Martin AVM, and I am concerned about it progressing to grade 6, which is inoperable. What are the chances?
Query: Hello doctor, My spouse was diagnosed with a cerebral aneurysm six years back. He got imaging done after two years, where they diagnosed a grade 3 Spetzler Martin (AVM in a left middle cerebral artery, eloquent with deep drainage). He has right-sided hemiparesis as a result and some difficulty solvi... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I have reviewed the reports (attachment removed to protect the patient's identity). Yes, it is a high-grade AVM (arteriovenous malformation) and is diffuse. I would suggest Gamma Knife radiosurgery (fractionated) fo... Read Full »
Is it safe to take Viagra is you have an aneurysm?
Query: Hi doctor, I am a 54 year old male with complex medical histories, including a current splenic artery aneurysm, an occluded right vertebral artery, historical major spinal cord trauma from intradural schwannomas (removed twice) and multiple liver hemangiomas. I have had occasional erectile dysfunct... Read Full »
Answer: Hi, Welcome to icliniq.com. According to me, it is better to avoid Viagra as it is a vasodilator. But, the final decision should take after consulting your cardiologist.First, rule out the psychogenic causes of erectile dysfunction. Because, there is no need to take Viagra (Sildenafil), if it is a ... Read Full »
Can a cardiac MRI show anything in regards to pulmonary hypertension?
Query: Hello doctor, I have a question regarding cardiac MRI. I have one biannually because I have congenital heart disease. My question is whether or not that type of imaging shows pictures of the lungs and, if so can it show anything in regards to pulmonary hypertension? I had cardiac catheterization sev... Read Full »
Answer: Hello, Welcome to icliniq.com. To know the picture of the lung, MRI (magnetic resonance imaging) of the lung can be obtained. In your case, it is the assessment of pulmonary hypertension evaluation. Cardiac MRI is done for accurate assessment of right ventricle structure and function. It is impor... Read Full »
Is it normal to feel heartbeats in the stomach?
Query: Hello doctor, I can feel heart beats in my stomach and it is moving like the heart is beating. This issue I have from more than a few years, but I am feeling it more and makes me nervous. While having this issue, my stomach is getting bigger, more bloated. Please do not suggest me going to doctor, I... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, I guess you do not have any other symptoms like shortness of breath or chest pain. It is worthwhile to get yourself auscultated by a local doctor to rule out structural heart disease, although that appears to be less likely. You should avoid fatty, oily and sp... Read Full »
What is the cause of my stroke, aneurysms, and other neurological problems?
Query: Hi doctor,I have had four-plus strokes in the last four years. After my first stroke, the neurologist said I had two lesions on the brain that looked autoimmune-related and an abnormal white matter for my age. The last time I had strokes was three years ago. However, I had neurological issues well b... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern. I passed carefully through your question and your reports (attachment removed to protect the patient’s identity). I would suggest performing further tests to investigate the possible cause of stroke.In this regard, I would suggest the followi... Read Full »
What is the treatment for PAN and multiple aneurysms?
Query: Hello doctor, My 21 years old daughter suffered from severe abdominal pain and vomiting one month back. I consulted a local physician for treatment. He gave some antibiotics, but no relief. I consulted gastrologist too. He prescribed some medicines, but no relief. He advised me to do the abdominal ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query. The diagnosis of Polyarteritis nodosa looks quite certain. Microaneurysms, high blood pressure, and high CRP are favoring it as well. I understood that she had been started on steroids and Azoran (Azathioprine). My personal recommendat... Read Full »
My mom had brain hemorrhage surgery two weeks ago and did not respond since then. What does it mean?
Query: Hello doctor, My mother had a brain hemorrhage caused by an aneurysm. She had surgery a month ago and is in the hospital and was in a coma. Then after two days, she started to move her arms and legs and tried to move her arm to move the tubes. I felt she could look me in the eyes, and the day after,... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your concern and will surely help you out. See, there can be innumerable reasons for not regaining consciousness. Post-surgery it is very commonly observed. However, patients generally get conscious after two weeks post-surgery, which has not been the case.... Read Full »
Will aortic dilation cause potential anuerysm?
Query: Hello doctor, I just received the report from a cardiac calcium scoring CT scan, and while my calcium score is zero, the report notes that my aortic root is dilated up to 3.7cm.I am a 42-year-old male. I had the CT scan performed because of recurring pain and tightness in my left arm, left side of m... Read Full »
Answer: Hello, Welcome to icliniq.com. If you have classical symptoms of angina, like chest pain occurring every time or most of the time you exert (rather than occasional symptoms), then you will also need to undergo stress test as well. Because calcium scoring is not a reliable test to rule out the pos... Read Full »