Vertebrobasilar Insufficiency

Vertebrobasilar Insufficiency is an inadequate posterior circulation of the brain supplied by the two vertebral arteries that fuse to form the basilar artery. Risk factors include age, gender, smoking, hypertension, hyperlipidemia, family history, genetics. Treatment includes reducing the risk factors, open surgical repair, and endovascular treatment.

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Kindly interpret my MRI reports and give suggestions.

Query: Hello doctor, I want my MRI reports to be interpreted. Kindly suggest. Impression: 1. There is no evidence of CP angle, TH, 8th nerve bundle mass, abnormal enhancement, or plasma. There is an ectatic vertebrobasilar artery eccentric to the right, crossing in close proximity to the tight auditory can...  Read Full »

Dr. Seyedaidin Sajedi

Answer: Hello, Welcome to I read your MRI report (attachment removed to protect the patient's identity). It is generally normal. The issue of the eccentric vertebrobasilar artery (VTA) is no sign of a disease or an important defect. VTA is one of the main arteries that supply blood to the bra...  Read Full »

How can I manage my vertebrobasilar circulatory insufficiency without experiencing a face burn?

Query: Hello doctor, I have been suffering from vertebral basilar circulatory insufficiency (caused by cervical spondylosis), and I have been prescribed the tablet Vinpocetine. The problem is that I have rosacea on my face. What is the best alternative way to enhance cognition if I cannot take the tablet V...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I went through your query and understood your concern. I suggest you take the tablet Donepezil (cholinesterase inhibitor). These drugs do not cause vasodilation. Regarding vertebrobasilar insufficiency, I suggest you take a tablet of Aspirin (non-steroidal anti-infl...  Read Full »

Are these symptoms connected with Brainstem Lesions?

Query: Hi Doctor, Around eight months back, I had a numb feeling in my nose. I ignored it because I had three abscessed teeth on my left side, and I thought the numbness was due to that. It gradually went away, and I forgot about it. Last month, my daughter fell sick, and I was going through some extreme ...  Read Full »

Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to I have read your question with care and understand your problems. All your symptoms can occur in brainstem lesions. Routine MRI sequences may not identify many lesions in the early stages. You have to do the following tests: MRI (magnetic resonance imaging) - Diffu...  Read Full »

What causes giddiness with generalized itching?

Query: Hi doctor, I was admitted to ICU in a hospital with below conditions at night 4 AM. BP 90/60 mmHg, temperature afebrile, PR 80/min, CVS, R and PA NAD, giddiness, started generalized itching and nausea. There is no history of headache, visual disturbance, weakness of limbs and bowel and bladder distu...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know a few more details. What did you feel in giddiness exactly? Was it feeling of everything rotating around you or feeling of head rotating or feeling of darkness in the front of the eyes or increased heartbeat? For how long these problems lasted? ...  Read Full »

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