Anyone similar to this: blockage m1 cerebral artery
Hi
My 67 year old wife had had five episodes lasting no more than 10 minutes each. One was she could not talk correctly. These were from April to end of June and her annual visit with Dr was in late July. In June she was put on Lipitor unrelated to this as no one knew about her episodes.
Today after her CT scan yesterday, her Lipitor was increased to 80
In the past week, She has had MRI brain no contrast, MRAs of head and of carotid (neck) both no contrast and CTA neck/head with contrast She has blockages on M1 branch of the left middle cerebral artery and A1 branch of the left anterior cerebral artery
Questions
Does stent/angioplasty generally work for this?
From CT scan: FINDINGS:
Small amount of calcified plaque present along the aortic arch without significant stenosis. Three arch branch vessels. Vertebral arteries appear widely patent. No evidence of vertebral artery dissection. Small amount of calcified plaque present along the proximal left internal carotid artery without significant stenosis. The left internal carotid artery is diffusely diminutive throughout the majority of its cervical segments without focal stenosis. Calcified plaque present at the carotid bulb and along the proximal right internal carotid artery causing less than 20 percent stenosis. Diffusely diminutive intracranial left internal carotid artery with marked stenosis of the supraclinoid portion of the left internal carotid artery. There is high-grade stenosis or occlusion of the M1 branch of the left middle cerebral artery with reconstitution of the more distal branches although markedly diminutive. High-grade stenosis or occlusion of the A1 branch of the left anterior cerebral artery with reconstitution of the A2 branch through the anterior communicating artery. Calcified plaque present along the cavernous portion of the right internal carotid artery causing less than 50 percent stenosis. Fenestration of the M1 branch of the right MCA. No focal occlusion or high-grade stenosis identified. More distal aspects of the M1 branch and M2 branches of the right MCA appear patent. Intracranial posterior circulation appears patent. No aneurysm identified. No abnormal intracranial enhancement. The visualized thyroid gland is unremarkable. No cervical mass or fluid collection.
Lung apices clear.
No acute fracture.
IMPRESSION: 1. High-grade stenosis or occlusion of the M1 branch of the left MCA with diminutive reconstitution of the more distal branches of the left MCA. This is consistent with findings seen recent MRA of the neck. 2. Diffusely diminutive left internal carotid artery throughout the majority of its cervical and intracranial segments. 3. Approximately 50 percent stenosis of the cavernous segment of the right internal carotid artery.