Thanks for the explanation of one of the pitfalls of relying only on the surface appearance of dyed veins to establish whether there is a reason to do angioplasty. I think the important point here is: read your "IVUS for Dummies".
I was wondering: it looks as if there was yet another waist in your jugular. Do you think a valve re-grew, or did you have elastic recoil? Was this waist new? What, if anything, did the IVUS picture show?
Cece wrote:My left jugular during procedure #1 in February:
The first image is before the ballooning. You can see the very tight, near total 99% stenosis.
The second image is the ballooning. Notice the waist on the balloon.
The third image is a subsequent ballooning. Notice that the waist is gone.
The fourth image is the flow at the end of the procedure. Compared to the first, it looks much healthier.
Cece wrote:My left jugular during procedure #2 in July:
The first image is the jugular before the treatment. It is not as bad as it was initially back in February nor as good as it was post-treatment in February. It is wide in the midregion of the jugular and narrow at the top and bottom. The narrowing at the top is physiological and does not need to be treated.
The second image is the first ballooning. Notice the waist. Also notice that it's a pretty short balloon.
The third image is a subsequent ballooning. It still shows a waist. The balloon looks much longer. It does not appear that the waist resolved.
The fourth image shows the flow after the procedure. It is improved from the first. But I do not know how durable this will be.
I had a pretty puzzling appointment with a doctor and was wondering if anyone who has a good background in neuroanatomy could help me out.
I am a young adult and had a pretty classic stroke like episode but nothing was ever found on the MRI. I did have to go through stroke rehab to learn how to walk and balance again. I still have left sided weakness. This is possibly irrelevant though.
Ever since that episode, I have VERY brisk reflexes globally. The strange part is that some of my reflexes change. For example, when doctors do the babinski test, I may have a positive, negative, or no response. I may have several different doctors try the test with the same results one day and then the next week I have a bunch of doctors try it and they all get the same results as each other, but different than before. I also have a positive Hoffmann's sign test. I also have intermitant clonus of varying severities.
Other possibly irrelevant details are that I have intermittent episodes of weakness, dysautonomia, and like five tiny jugular veins on each side of my neck instead of the usual two.
I mainly just want to know what part of the nervous system would cause this pattern of reflexes and why things change from day to day. This is more for my own curiosity than for trying to find a diagnosis or anything like that (I'll leave that to the doctors). I'm studying biology, so this is interesting for me.
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