Check MRA after traumatic brain injury, blood vessel stenosis!! 30

It's another year of Qingming Festival, thank you to the martyrs, and thank you to the ancestors.

The condition of your MRA has nothing to do with trauma, it is that the cerebral blood vessels are born like this, and the left posterior communicating artery may be absent. The most important thing to pay attention to is the condition of vertebral artery stenosis, both of which can cause dizziness due to insufficient blood supply. Because there is no intuitive impression of reading the film, and the cranial MRA is not the final diagnosis, I cannot give you the final advice yet.

Diagnosis requires cerebral angiography (inpatient examination).

The distal end of the left anterior cerebral artery is slightly thinner, and the left posterior communicating artery is not seen, "This is definitely not related to trauma, it is generally a congenital developmental problem, many people have it, and there is no need to deal with it." "Obvious stenosis of the right intracranial vertebral artery" is based on the degree of stenosis to determine whether it is needed, and it is generally not related to trauma, most of which are dissected aneurysms caused by trauma, and MRA cannot be used as a basis for **, but can only be used for screening. It is recommended to do a further 64-row CTA, or directly do DSA, which is the "gold" indicator of vascular disease.

I have seen patients with cerebrovascular stenosis, need surgery to solve, at present only Beijing has a doctor who can do this kind of surgery, don't blindly believe the advertisement, go to a big hospital to do it, cerebrovascular stenosis is basically in the prime of life, maybe your brain trauma is also a good thing for you, early detection of cerebral vascular stenosis, cerebral vascular stenosis is cerebral hemorrhage, very dangerous...

In normal people, many have unilateral vertebral artery homogeneous stenosis, especially the right vertebral artery, which is a congenital developmental abnormality.

You have headaches, you need to pay attention to lifestyle habits, etc. Get rid of bad habits such as smoking and drinking, take regular rest, and eat lightly.

Hello, I tell you very clearly, it is almost certain that no, the stenosis and malformation of blood vessels are generally mainly caused by congenital vascular dysplasia, and trauma leads to blood vessel rupture and bleeding at most, but does not lead to malformation.

When you say angiography, you're probably referring to DSA (Digital Minus Angiography). DSA is the gold standard for diagnosing cerebrovascular stenosis and is an invasive test. If vascular stenosis is suspected, DSA testing is necessary for further ** (e.g., intervention**, etc.).

Less invasive are CTA (CT angiography) and MRA (magnetic resonance angiography). If surgery is required, CTA and MRA cannot be used as standard.

To clarify the specific narrowing location of the blood vessel, if you want to go further, it is recommended to do DSA.

The best test is how you feel, whether you are dizzy, headaches, ---

The MRA report showed abnormalities: the initial segment of the right anterior cerebral artery was thinner than the contralateral side, and the rest of the artery was not obvious.

Suggestive clinical significance: there may be stenosis of the initial segment of the right anterior cerebral artery, resulting in poor blood supply to the right anterior cerebral artery and branches, and in the case of ischemic infarction of the corresponding part of the brain tissue, the left hemiplegia will occur, and the lower limb is heavier than the upper limb; mild sensory impairment, and more.

Regarding the gold standard for the diagnosis of cerebrovascular lesions or digital subtraction cerebral angiography (DSA), intervention** can be performed to improve vascular stenosis when the diagnosis is clear and the indication is met.

No** difficult to determine, it may be the spasm of local blood vessels or the difference in the development of individual blood vessels, there are no clinical symptoms do not worry!

Your report is to describe the condition of blood vessels, there may be anterior cerebral artery spasm, but there is no other medical history data, how to analyze it?

Your question is ......

It depends on the MRI's.

I can't say it on my own.

will be misdiagnosed).

Hello, it is a cerebrovascular disease that causes cerebral artery lumen narrowing due to cerebral atherosclerosis and vascular intimal damage, and then local thrombosis due to a variety of factors, which aggravates arterial stenosis or completely occludes, resulting in ischemia, hypoxia, necrosis of brain tissue, and neurological dysfunction. Oral aspirin and thrombosis can be used, and attention should be paid to a low-salt and low-fat diet.