Hello, Thank you but i know that small bleedings can be missed in images specially an mri , a ct is more accurate, so what was that event , because after that event everything changed i have continuous pins and needles , facial pains, left side tremor....etc. I told you this and i suspect a weak vertebral because of the dialtation, and because i have HBP and the throbbing was in the same area, so it must be bleedings and not small clot, more probable SAH When you say Vasculitis , do you mean it will go away by it itself , because this area left vertebral is so fragile and it can be very weak, or do i need steroids because i tried steroids for 6 days and i did not improve, it was 20 for 2 days then down to 10 for 2 days then down to 5 for two days then stopped but no improvement, I know vasculitis needs a longer period of time to treat and also the arteries on the images look like beaded but not necesserly You mean the dye triggered it back again, any pillls triggers again, so i should avoid any medicine Here is another point when i check my BP and the machine squeezes my arm whether during or directly after it finished my left back side of my head hurts and my ears hurt, could it be a nerve injury or vasculitis or both because even when the MRI machinne goes above the left side i feel pain like nerve pain Some times when i eat somnethings like trumeric garlic or take pills they used to give me this area also get irritated and give me symptoms. it is very fragile I do not know what do you think of all that, by the way i did an LP and ENA blood test ANA ANCA ...etc all came normal To answer your questions, the most 3 symptoms that are troubling me are throbbing left vertebral with nerve irriated pain in that side can not sleep from it Left leg and hand unvouleterly tremor Second facial pains specially the ear pains or when i bend and get up again All my symptoms are are related to left vertebral medulla oblengata, vugus and cranial nerves but i have no proof because i had strange heart beatings stops and breathing unvolunterly also For a trouble in swallowing and speech , yes i had when my situation was very very bad after the angio the throbbing was to the extreme but now the swallowing and speech are better and ok, aslo i had trouble after that event last year that you do not call a stroke No weakness in arms or legs , and no not tested for neuropath but i doubt i have, i have brain stem symptoms and it left vertebral artery pathology related but my problem i have no significant proof inside the brain I have a question and please answer me back about my latest MRA without contrast for detecting a dissection, i heard that it can miss a dissection in the left vertebral, do you think i should have a brain mra with contrast to catch if there was a dissection
DId you look at the image number 222 , it is clearly dialated , this is the weak area, did they sent it to you because i could not upload it Do you know of any supplement or medicine to strenghten the artery but not weaken it or thin the blood , to strenghten the artery walls Thank you

I will close the consultation and ask you a new question the coming days and update you but before that, since images are not showing evidence of aneurysm dissection, and because of my facial pains cranial nerve pains pins and needles face hands feet tremor...etc it all suggests brain stem medula left vertebral problem, it is my body I know I am seriously ill, and there is a big probability it is Cns vasculitis PACNS and it will only show with biopsy
you know the dye of the angio and pressure triggered it, even the Iv irritates this area like sodium , and I did not say hurting artery I said throbbing hard but the nerves are hurting maybe there damages or insulted
i even have noticed that when for example have some lemon or garlic or other different thing, even baby aspirin that area left vertebral nerve hurts more and facial symptoms increase even the throbbing increase , and this in normal people should not happen at all, the dye thing nor lemon or onions nor......
so I think there is vasculitis in that artery and it gets triggered more by these things and irritated the nerves, and also maybe I have leaky gut that gives more inflammation to that area and allergy
beleive I know my body I have something in that artery that not seen by images just some dialtation cause by the inflammation
and I really do not know what to do, because it can only be diagnosed with biopsy, and if I take cox2 inhibitor it might worsen it if it real vasculitis , so maybe immune suppresser , they should give me that
i don't know if people with Cns vasculitis in the left vertebral when they inject dye to them causes more throbbing or some trumeric or lemon
what do you think and recommend