視野異常與小腿無力麻：檢查結果分析-神經內科

視野異常及小腿無力麻？

醫師您好6月至今左眼看東西邊邊一直感覺不清楚,眼科檢查後有視野缺陷懷疑是腦神經問題,這幾個月右邊膝蓋以下也一直麻麻的無力感,走路起來感覺很奇怪,當中也有持續看眼科及神經內科,近期做了頸動脈超音波及穿顱都卜勒超音波檢查,及頸動脈聲圖檢查,另外還有排了腦部電腦斷層,因為電腦斷層的檢查還需要等比較久才能做到,是否能請醫生幫我看一下其他的報告數值是否正常,有需要在電腦斷層檢查前提早回診嗎?謝謝您B-Mode Finding: B-Mode Findings: Normal at both carotid systems. Doppler Finding: Doppler Findings: No hemodynamic change at both carotid systems. Normal flow at Both extracranial VAs The CCCD/TCD study is Normal. Comments: Suspect hypoplasia of R VA. TCD Interpretation: TCD Interpretation: Temporal window:Normal temporal window on both sides. Ophthalmic flow direction:Forward ophthalmic flow on both sides. Increased velocity at Both MCAs Normal flow velocity and waveform in the other insonated arteries. TCD DAIGNOSIS: TCD Diagnosis: This is a normal TCD study, except possible stenosis at Both MCAs by velocity criteria. (Rt MCA MV 123 cm/s, Lt MCA MV 120 cm/s) Sonographic Data: Carotid Sonographic Data: B_Mode Doppler Remarks Right Thick %Stenosis PSV EDV TAV PI RI VF Carotid (mm) diameter (cm/s) (cm/s) (cm/s) (ml/min) ================================================================================ CCA Mid 87 27 50.00 1.2 0.69 489 Maximum D=.56 ECA 115 23 51 1.8 .8 150 D=.31 ICA 89 39 62 .8 0.56 321 D=.4 SCA 139 0 34 4.8 1.00 VA 55 18 31 1.2 0.67 54 D=.25 OA 22 4.9 10.6 1.6 .77727 Forward IMT .68 mm ================================================================================ B_Mode Doppler Remarks Left Thick %Stenosis PSV EDV TAV PI RI VF Carotid (mm) diameter (cm/s) (cm/s) (cm/s) (ml/min) ================================================================================ CCA Mid 91 31 53 1.1 0.66 457 Maximum