Posted By CCF Neurology W6 MD on October 05, 1998 at 01:13:00:
In Reply to: NF and cerebral
vascularArteriosclerosis of the extremities
Birthmarks - red
Dementia
Heart disease
Intravascular ultrasound
Mesenteric artery ischemia
Renovascular hypertension
Replantation of digits
Stroke
Tobacco and vascular disease
Vascular headaches abnormalities?? posted by ruth on October 05, 1998 at 00:29:04:
Our daughter has NF-1 and is being evaluated for very frequent headaches. Her brain MRI is
normalNormal saline flush. We have read that there can be cerebral
vascularArteriosclerosis of the extremities
Birthmarks - red
Dementia
Heart disease
Intravascular ultrasound
Mesenteric artery ischemia
Renovascular hypertension
Replantation of digits
Stroke
Tobacco and vascular disease
Vascular headaches abnormalities associated with NF-1. We are trying to get some more info on this. She will be seeing the doc again soon. Most of her doctors here are quite unfamiliar with NF-1 and we have had to "provide" a lot of info in the past in our experience with her health care concerning her NF. Any info you have on this would be appreciated-- ie- tests
ectAbortion - elective or therapeutic
Acute cytomegalovirus (cmv) infection
Acute hiv infection
Adenoid removal
Adrenalectomy
Advanced care directives
Anorectal fistulas
Aortic dissection
Appendectomy
Appendectomy - series
Artery cut section?? would a MR
angiogramArteriogram
Cerebral angiography
Cholecystitis, cholangiogram
Coronary angiography
Gallstones, cholangiogram
Hemangioma - angiogram
Lymphangiogram
Percutaneous transhepatic cholangiogram
Renal arteriography to look at the cerebral arteries be a good test to have done ? Thanks so much for your time!!
Dear Ruth,
firstFirst progesterone mc10
First progesterone mc5
First-progesterone vgs 100
First-progesterone vgs 200
First-progesterone vgs 25
First-progesterone vgs 400
First-progesterone vgs 50
First-testosterone
First-testosterone mc of all you should bring your daughter to a neurologist/ped neurologist who is familiar with NF1.
As you know NF 1 affects the brain in 15-20% of patients.
THe vascular abnormalities that are associated with NF 1 include
(involvement of the cerebral vessels are rare though)
1. Progressive cerebral artery occlbusion which may lead to stroke.
This is best studied using cerebral angiography (the definitive test) or the non invasive MRAngiogram.
2. Aneurysm
3. Vascular ectasia/tortuous vessel
4. Arteriovenous fistula or malformation
As in number 1, for 2-4 the definitive study is cerebral angio.
This procedure is not without risk, so you should consult with your doctor and weigh the risk and benefit of the procedure. Of course there is MRA that is non invasive and will probably catch most, but not all, vascular abnormalities noted above.
Good luck to you and your daughter.