My 3 years old going down hill with missing ACA A1 segment

  • Context: Medical 
  • Thread starter Thread starter opcom168
  • Start date Start date
  • Tags Tags
    Hill Years
Click For Summary

Discussion Overview

The discussion centers around concerns regarding a child's health, specifically related to the absence of the ACA A1 segment in the brain, poor vision, and episodes of hemiplegia. Participants explore potential implications of these medical issues, the need for further evaluation, and the child's developmental prospects.

Discussion Character

  • Debate/contested
  • Technical explanation
  • Exploratory

Main Points Raised

  • One participant expresses concern about their son's health, noting the absence of the ACA A1 segment and its potential impact on his condition.
  • Another participant suggests that the missing A1 segment could be compensated by the intact segment on the opposite side, but notes that symptoms indicate this compensation may be inadequate.
  • There are worries about the child's developing brain and whether neurological rewiring is possible given his condition and optical atrophy.
  • Participants discuss the importance of monitoring the child and the potential need for evaluation by a neurosurgeon, emphasizing that medical advice cannot be given in the forum.
  • One participant cautions against excessive exercise until a proper evaluation is conducted, noting that missing segments in the Circle of Willis can be common and often go unnoticed.

Areas of Agreement / Disagreement

Participants generally agree on the need for medical evaluation and express concern for the child's health. However, there are differing views on the implications of the missing ACA A1 segment and the potential for neurological compensation or rewiring.

Contextual Notes

Limitations include the absence of detailed medical history, the complexity of neurological conditions, and the potential for associated abnormalities that remain unaddressed in the discussion.

opcom168
Messages
3
Reaction score
0
Hi,

I am worried my son probably going heading down hill with absent/missing ACA A1 segment. He is also has very poor vision (OA) with nystagmus. He has hemiplegic event last years by treating his sinus issue somehow has positive effect for 8~10 months no hemiplegic events. Last week he had major hemiplegic (for us it is). Our pead. neuro help scheduled MRI/MRA which indicates missing ACA A1 segment. Have anyone other there encounter similar issues? What could we do?

Help
 
Last edited:
Biology news on Phys.org
opcom168 said:
Hi,

I am worried my son probably going heading down hill with absent/missing ACA A1 segment. He is also has very poor vision (OA) with nystagmus. He has hemiplegic event last years by treating his sinus issue somehow has positive effect for 8~10 months on hemiplegic events. Recently he had it again MRA indicates missing ACA A1 segment; taken after a major day time headache and hemiplegic. Have anyone other there encounter similar issues?

Help

It sounds like your son needs to be evaluated by a neurosurgeon ASAP if he is symptomatic. What you are describing is a missing portion of one of the two Anterior Cerebral Arteries (ACA). These arteries form part of a circle of arteries located at the base of the brain. The A1 segment is one part of this circle which means that the circle is incomplete. However, because it is a circle, blood can be supplied from the other side. So a missing A1 segment on the right can be compensated for by an intact A1 segment on the left and vice-verse. However the symptoms suggest that the this compensation is inadequate. This would not be unexpected in a growing brain.

We cannot give medical advise here, but a neurosurgeon can advise you of your options. I do wish you and your son the best in this difficult situation.
 
we still monitoring him and our pead. neurology here overwhelmed with patience (only one). He still looks and doing fine.. as you mention I am worried about developing brain. I am just asking myself will neuro able to rewire him? He has OA, optical atrophy and it could be related.
 
Last edited by a moderator:
opcom168 said:
we still monitoring him and our pead. neurology here overwhelmed with patience (only one). He still looks and doing fine.. as you mention I am worried about developing brain. I am just asking myself will neuro able to rewire him? He has OA, optical atrophy and it could be related.

we are giving him more workout now - just let me enjoy in open space. Desperately try to help blood flow into his brain. I am just don't want to wait until things gets really bad. Symptoms wise, he have abnormal breathing from time to time while he sleeps - I used to inform my pead. neuro i felt his brain signaling lacks oxygen.
 
Last edited by a moderator:
opcom168 said:
we are giving him more workout now - just let me enjoy in open space. Desperately try to help blood flow into his brain. I am just worried don't want to wait until things gets really bad. Symptoms wise, he have abnormal breathing from time to time while he sleeps - I used to inform my pead. neuro i felt his brain signaling lacks oxygen.

I would be careful about trying to exercise the boy beyond his accustomed activity levels until he's evaluated. Missing segments in the Circle of Willis actually occur in many people who live normal lives and it's not discovered until they die from other causes. At this point, you can't rule out other possibly associated abnormalities. As I said, we cannot give advice here other than to get an evaluation by a neurosurgeon. Beyond this, I don't think anyone in Physics Forums is in a position to advise you. If you wish, you can post what the neurosurgeon has advised; but for anything beyond that there's nothing we can do here. I'm sure anyone reading this thread is hoping for the best for your son.