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Medical Forum / Diseases and Disorders / Tinnitus / August 2003Internal Carotid Artery kinked
I have just been diagnosed with this problem diagnosed as a result of pulsate tinnitus noises in my head. What is this and is it dangerous Jackie S >I have just been diagnosed with this problem diagnosed as a result of >pulsate tinnitus noises in my head. > >What is this and is it dangerous > >Jackie S .................. Jackie, the internal carotid arteries are tubular structures that carry blood to the brain. There is one on each side. (The vertebral arteries also carry blood to the brain.) As a result of age, atheroslerosis, trauma, or pathological condition of the wall of the carotid artery, it can "kink" (bend). Some degree of kinking is within the norm. Problems can arise when the kinking is severe enough to cause turbulence in blood flow or predispose to increased plaque build-up. Significant kinks can increase the potential for stroke. Treatment can involve nothing at all (if there is no appreciable turbulence or atherosclerosis) - to anti-coagulants - to surgery. Which treatment (if any) is appropriate for you depends on numerous factors - to be reviewed with your doctor. It's also a good idea to consider a second opinion. Regarding your tinnitus, pulsatile tinnitus and carotid kink can be seen in the same individual without the kink causing the pulsatile tinnitus. There are tests that can give you a pretty good idea if they are causally related. Hope this helps. smn As Dr Nagler pointed out, any kink or alteration of blood flow can set up a turbulence that allows you to hear a "new sound" which is your own circulation. This is always a difficult concept for the patient. Sometimes we have to tell the patient not to do anything because the circulation is essentially OK. You need to work closely with your doctor to be sure you really understand what's going on. It is not a good idea to imagine the worst. Of the last 3 patients I had with this condition - objective pulsatile tinnitus, they did fine once they fully understood their condition. You will get a great deal of misinformation reading about this. Your case is individual and can only be described by your own doctor. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com/presentingthehydropulse/ >You need to work closely with your doctor to be sure you really understand >what's going on. It is not a good idea to imagine the worst. Thank you, Muzzy, for adding to Nagler's commentary which could have scared the crap out of Jackie. Oh, and you didn't need to advertize. Martin Aquinas - Civilizations are clashing...will you defend your own or doom your children? "We cannot forget. We cannot forgive ... We went through too much. They will have a sentence of their own: Remembrance." Border...Language...Culture....QUICK! America has a "Suicidal Openess" to immigration and it must end or we will fall Say the pulstaile tinnitus was subjective, not objective as in this case. Would that make a difference to the severity/possible severity of this condition. Thanks - john > As Dr Nagler pointed out, any kink or alteration of blood flow can set up a > turbulence that allows you to hear a "new sound" which is your own circulation. [quoted text clipped - 10 lines] > http://www.ent-consult.com > http://www.hydromedonline.com/presentingthehydropulse/ Thanks Guys for your input. It helped put me at ease and I am curious as to how prevalent this is and are there any medications such as anti-coagulants that would help abate the noise aspect of the infliction. Jackie > As Dr Nagler pointed out, any kink or alteration of blood flow can set up a > turbulence that allows you to hear a "new sound" which is your own circulation. >Thanks Guys for your input. It helped put me at ease and I am curious as to >how prevalent this is and are there any medications such as anti-coagulants >that would help abate the noise aspect of the infliction. > >Jackie ............... Jackie, anti-coagulants are *occasionally* indicated in carotid kinks under certain circumstances if there is felt to be an increased risk of stroke. They do not improve tinnitus - regardless of whether or not the tinnitus is due to turbulence caused by the kink. You particular course of action is best determined in consultation with your own doctor. I do not know of any data on the incidence of carotid kink - since most are probably asymptomatic and therefore go undetected. On another topic, if I am not mistaken "bigpond.com" is an Australian ISP. I just learned that one of the leading Australian authorities on tinnitus, Dr. Jane Henry of the University of New South Wales, passed away last month. She was only 42. A loss of incredible magnitude. Dr. Henry co-authored the book "The Psychological Management of Chronic Tinnitus - A Cognitive-Behavioral Approach." It is on my "must read" list for people who suffer from intrusive tinnitus. smn >>Thanks Guys for your input. It helped put me at ease and I am curious as to >>how prevalent this is and are there any medications such as anti-coagulants [quoted text clipped - 24 lines] > >smn SMN is on the "must avoid" list for people who suffer from instrusive tinnitus, IMO. Terri http://pub219.ezboard.com/btinnitusactivismandsupport Dear Jackie, a patient with internal carotid artery "dysfunction " is far too complicated to offer advice to unless it is the treating doctor. For my cases, we alsways involve a neurosurgeon, a radiologist , an internist and an ent. Each one contributes so the best course of treatment can be arrived at. No two cases are alike. Your best source of information is your own doctor. This is a very complex condition and it is extremely easy to get confused by following "medical texts". Often the terms are defined differently too, especially objective tinnitus. Speak to your doctor who knows of your condition. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com/presentingthehydropulse/ >Murray Grossan, M.D. >http://www.ent-consult.com >http://www.hydromedonline.com/presentingthehydropulse/ Muzzy, could you explain to the group how a nasal irrigator has anything to do with tinnitus? It is what you are advertizing, isn't it? Martin Aquinas - Civilizations are clashing...will you defend your own or doom your children? "We cannot forget. We cannot forgive ... We went through too much. They will have a sentence of their own: Remembrance." Border...Language...Culture....QUICK! America has a "Suicidal Openess" to immigration and it must end or we will fall |
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