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What Causes Post-traumatic Occlusion Of Anterior Cerebral Artery?
Question: I had a 4 vessel brain angiogram and the radiologist told my father afterwards that "there was an old injury in the anterior cerebral artery that had healed." I never got an explanation from the radiologist or the attending as to what that meant. Any clue?
Brief Answer:
It may range from partial blood supply occlusion to ACA Syndrome!
Detailed Answer:
Thanks for consulting me at virtual clinic. Your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and can well realize all those concerns. Being your physician, I will take care all of them today and will give extend my expertise to solve the problems.
It can range anything from small hemorrhage from the artery; partial occlusion of the blood supply from anterior cerebral artery (ACA) to, ACA Syndrome.
I think it had been in the very past, some reduced blood supply area of the ACA that the Radiologist noticed when it had been healed up.
You may question as to why did you not get any kind of sensory or motor (brain) defects when in the first place this injury was there???
Yes; brain has its dual blood supply especially when it comes to the area of blood supply for ACA. The other blood supply is from the Anterior COMMUNICATING ARTERY and if there is a small problem with the blood supply from ACA the communicating artery fulfills this deficiency without even causing any significant symptoms.
Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
USA
It may range from partial blood supply occlusion to ACA Syndrome!
Detailed Answer:
Thanks for consulting me at virtual clinic. Your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and can well realize all those concerns. Being your physician, I will take care all of them today and will give extend my expertise to solve the problems.
It can range anything from small hemorrhage from the artery; partial occlusion of the blood supply from anterior cerebral artery (ACA) to, ACA Syndrome.
I think it had been in the very past, some reduced blood supply area of the ACA that the Radiologist noticed when it had been healed up.
You may question as to why did you not get any kind of sensory or motor (brain) defects when in the first place this injury was there???
Yes; brain has its dual blood supply especially when it comes to the area of blood supply for ACA. The other blood supply is from the Anterior COMMUNICATING ARTERY and if there is a small problem with the blood supply from ACA the communicating artery fulfills this deficiency without even causing any significant symptoms.
Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
USA
Above answer was peer-reviewed by :
Dr. Raju A.T
DR. HANIF
USA,
That answers my question about the ACA but I fell again this morning just after getting out of bed. I was not dizzy at the time. I feel like I have lost some balance control doing simple things like walking down stairs, walking up stairs is like climbing a mountain a stair at a time, getting into my car takes all of my strength just to pull myself into the seat! I run into door frames coming out of rooms, and have tripped more times than I can count in the past few months. I don't necessarily feel dizzy when it happens. At least 4 or 5 times during the day, I feel completely fatigued to the extent that I feel the need to lie down for awhile. My fine motor skills seem ok at times (like washing dishes or laundry, but sometimes they don't seem to work at all, like clasping a necklace or putting on pierced earnings, and my handwriting is not my handwriting at all. I can barely form some of the letters as I am writing. My hand shake constantly, like tremors. I find that while I am typing at work, it is much slower with many typos to correct (although I have always been a fast typist).
I think my analytical skills are ok and I don't seem to have issues driving that I have noticed but this is all concerning me because I feel like I am fighting to control some abilities I used to do without even thinking about them. I don't think my internist will give any of this much thought and I don't want him to think I'm stupid or a hypochondriac because I have only been seeing him for less than 2 years. My former family doctor passed away and I don't think today's doctors generally care to listen to vague symptoms and complaints. My current internist is very difficult to get in to see, and on short notice, I'm sure it will be impossible.
Can you tell me what type of doctor I need to see to get these things checked out? And what type of tests are we talking about? That 4 vessel angiogram was traumatic in that they made me wait 6 hours before they came and got me from my hospital room that day. I'm afraid of doctors anyway.
Any insight you might have about my symptoms would be helpful and a recommendation as to what type of specialist I should see if not my internist. Thank you so much for your help.
XXXXXXX
USA,
That answers my question about the ACA but I fell again this morning just after getting out of bed. I was not dizzy at the time. I feel like I have lost some balance control doing simple things like walking down stairs, walking up stairs is like climbing a mountain a stair at a time, getting into my car takes all of my strength just to pull myself into the seat! I run into door frames coming out of rooms, and have tripped more times than I can count in the past few months. I don't necessarily feel dizzy when it happens. At least 4 or 5 times during the day, I feel completely fatigued to the extent that I feel the need to lie down for awhile. My fine motor skills seem ok at times (like washing dishes or laundry, but sometimes they don't seem to work at all, like clasping a necklace or putting on pierced earnings, and my handwriting is not my handwriting at all. I can barely form some of the letters as I am writing. My hand shake constantly, like tremors. I find that while I am typing at work, it is much slower with many typos to correct (although I have always been a fast typist).
I think my analytical skills are ok and I don't seem to have issues driving that I have noticed but this is all concerning me because I feel like I am fighting to control some abilities I used to do without even thinking about them. I don't think my internist will give any of this much thought and I don't want him to think I'm stupid or a hypochondriac because I have only been seeing him for less than 2 years. My former family doctor passed away and I don't think today's doctors generally care to listen to vague symptoms and complaints. My current internist is very difficult to get in to see, and on short notice, I'm sure it will be impossible.
Can you tell me what type of doctor I need to see to get these things checked out? And what type of tests are we talking about? That 4 vessel angiogram was traumatic in that they made me wait 6 hours before they came and got me from my hospital room that day. I'm afraid of doctors anyway.
Any insight you might have about my symptoms would be helpful and a recommendation as to what type of specialist I should see if not my internist. Thank you so much for your help.
XXXXXXX
Brief Answer:
It is all due to frequent falls and you need to consult a Neurologist !
Detailed Answer:
Miss XXXX!
I feel really sorry for the situation you have and I am here to help you. Thanks for the follow up and providing the details in so elaborative way instead of having typing issues. I really appreciate.
Yes, these are not so vague symptoms to show that you are a hypochondriac. These are really very genuine concerns and I really appreciate them. I am happy to assist you today. I want to guide you that ask your Primary Care or Internist to refer you to a Neurologist for proper evaluation and treatment.
You are having agraphia which is a form of dementia in which a patient is unable to write properly. It is a neurologic disorder that may be due to hemorrhage in brain or sometimes in Alzheimer's disease. In your case frequent falling and brain injury or hemorrhages seem to be more of a cause for all the issues you have.
You have got balance issue most probably due to some issue in hypothalamus part of brain. Your fine motor skills and coordination is disturbed and that all needs a brain MRI to look into the matter deeply. EEG of the brain is also needed and if your Neurologist finds necessary after Physical examination, he may go for nerve and muscle conduction studies too.
Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
USA
It is all due to frequent falls and you need to consult a Neurologist !
Detailed Answer:
Miss XXXX!
I feel really sorry for the situation you have and I am here to help you. Thanks for the follow up and providing the details in so elaborative way instead of having typing issues. I really appreciate.
Yes, these are not so vague symptoms to show that you are a hypochondriac. These are really very genuine concerns and I really appreciate them. I am happy to assist you today. I want to guide you that ask your Primary Care or Internist to refer you to a Neurologist for proper evaluation and treatment.
You are having agraphia which is a form of dementia in which a patient is unable to write properly. It is a neurologic disorder that may be due to hemorrhage in brain or sometimes in Alzheimer's disease. In your case frequent falling and brain injury or hemorrhages seem to be more of a cause for all the issues you have.
You have got balance issue most probably due to some issue in hypothalamus part of brain. Your fine motor skills and coordination is disturbed and that all needs a brain MRI to look into the matter deeply. EEG of the brain is also needed and if your Neurologist finds necessary after Physical examination, he may go for nerve and muscle conduction studies too.
Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
USA
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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