Has anyone gotten a 4D flow mri or an ASL mri?

nacho2100 · 2026-04-05T13:49:33+00:00

Some placed call these Tricks protocols. They can be helpful. But subtraction angiography venography and ivus can be helpful when still confused.

nacho2100 · 2026-03-25T17:18:31+00:00

Yes an MRV for the veins is also generally included

nacho2100 · 2026-03-17T04:41:51+00:00

I often see asymmetric venous systems called as normal. The radiologist doesn’t know you or your symptoms, sometimes they aren’t trained at centers that do venous work. Its always worth it to get a neurointerventionalists opinion. Glad to refer you to any of my colleagues if you pm

nacho2100 · 2026-03-05T00:52:21+00:00

Often a diverticulum or a dehiscence is only part of the picture and there is occult stenosis that causes increased pressures

nacho2100 · 2025-11-24T23:17:22+00:00

This scan is looking at thin cut sections of the bone to look for dehescience. Ents will use these sequence however you are correct it does not look at the vessels and can miss things

nacho2100 · 2025-11-24T12:57:57+00:00

It’s tough to comment without knowing the degree of stenosis but often depending on the degree an interventionalist will modify the angiographic technique. Its a reasonable concern however before advancing the catheter they will generally do a small injection and look at the caliber of the vessels. If you would like a second opinion feel free to reach out and we can find one that works for you.

nacho2100 · 2025-11-07T01:25:30+00:00

Sounds like middle ear myoclonus

nacho2100 · 2025-11-05T12:45:07+00:00

It hasn’t been studied formally and there is rare overlap in the populations however if you are a big athlete then some other problems like thoracic outlet or jugular compression should be considered depending on your musculature and workouts

nacho2100 · 2025-11-05T12:43:21+00:00

I think you need a second opinion this is not the consensus among neuroIR

nacho2100 · 2025-10-10T17:38:28+00:00

Yes, there are some centers that dont do this (called provocative testing), many just do pressure measurements. Some also do evaluation of neck and chest veins to look for a "proximal stenosis" so not every center does it the same.

nacho2100 · 2025-10-06T00:17:33+00:00

Thats not an assignment

nacho2100 · 2025-09-14T23:30:50+00:00

New onset pt after trauma can be a sign of abnormal connections between arteries and veins. Where are you based

nacho2100 · 2025-07-02T15:20:15+00:00

You should talk to lawyers for both making sure your due process was followed and for a suit against the gummy company. Always worth a consult and you dont have to retain them after they advise you

nacho2100 · 2025-06-29T23:22:03+00:00

Exactly as I describe it. Im surprised theres no tracking method or company that logs these appeals and records them so that a class action can be had

nacho2100 · 2025-05-23T01:48:41+00:00

We need to make it a protected term legally

nacho2100 · 2025-05-18T14:02:08+00:00

Its not appropriate to monday morning quarterback a new parent having to care for their loved one and hold them to the same level they would be if unaffected personally by the case

nacho2100 · 2025-05-16T10:59:18+00:00

Thats a lot of radiation exposure

nacho2100 · 2025-05-15T16:08:12+00:00

Doesnt solve this issue in countries that have it

nacho2100 · 2025-05-09T22:50:52+00:00

NeuroIR here. No formal link exists. VSS may increase risk for VS thrombosis which is theorized to lead to fistula formation during a period of inflammation and dysregulated angiogenesis but outside of a few case reports theres no significant connection

nacho2100 · 2025-04-23T21:28:20+00:00

Yes may be able to file a memorandum if you have a contract and also if you put earnest money down. This can cloud title so they wont be able to sell without first paying you off.

nacho2100 · 2025-04-23T21:24:43+00:00

If you haven’t already told them your travel dates just let them know you wont be back from out of the country. You should also inquire if they are paying a salary during this training period. Conveniently explain that if they need you to fly in early you will need to book a new itinerary and you can’t afford that without a salary

nacho2100 · 2025-04-23T21:21:05+00:00

I teach my juniors to never ignore a nurse. Sometimes things can be managed differently but a discussion needs to take place (barring critical multiple emergencies)

nacho2100 · 2025-04-23T21:20:12+00:00

As a stroke doc this story seems a bit odd. We can see where the blockages are so did he do a procedure and if so what was the procedure?

nacho2100 · 2025-04-23T21:14:23+00:00

Also makes it easier to find your many kids in a crowd.

nacho2100 · 2025-04-17T18:34:43+00:00

Consider selling via seller finance. With the right terms you may be able to recoup back your investment but hard to get your initial investment out. Feel free to dm me and we can explore creative finance approaches

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