神經內科檢查結果分析及建議-神經內科

檢查報告？

您好醫生 這是去年6月份做的檢查想請問醫生幫忙查看有什麼問題需要注意的，因為本身有糖尿病最近天冷又頭痛很怕中風另外需要每年做這兩項檢查嗎？
或是要做什麼其它檢查，謝謝頭部磁振造影Finding：(檢查完成時間顯示在影像上) MRI--HEAD＆NECK : Routine Brain : performed WITHOUT intravenous contrast enhancement. -No definite abnormal signal intensity in the brain parenchyma identified. -Centrally location of the midline structures. -No dilatation of the ventricular system. -Mild enlarged retrocerebellar CSF space, likely mega cisterna magna or arachnoid cyst. -Unremarkable finding of the pituitary gland, suprasellar cistern ＆ bilateral cavernous sinuses. -Unremarkable finding of the paranasal sinuses, mastoid, orbital cavities, visible nasopharynx and skull bone. -Suspicious mild multifocal stenosis at bilateral distal MCAs and PCAs demonstrated on TOF MRA. ；Impression：IMP: No significant abnormal finding identified on this non-enhanced brain MRI. ；2.穿顱都卜勒超音波檢查（顱內血管超音波檢查）Carotid Color Duplex (systolic/diastolic velocity in cm/second) US No: 21848 CCA1 CCA2 D1(mm) IMT(mm) BIF ICA1 ICA2 Right 117 / 30 149 / 40 5.1 0.6 143 / 38 123 / 31 124 / 47 Left 79 / 29 154 / 45 5.3 0.6 130 / 26 138 / 44 137 / 58 ICA3 ECA1 ECA2 VA D2(mm) Subclavian Ophthalmic Right 133 / 57 121 / 33 144 / 17 57 / 25 3.5 N / N 40 / 8 Left 158 / 60 114 / 23 83 / 13 53 / 20 2.8 N / N 42 / 9 TCI Transcranial Imaging (systolic/diastolic velocity in cm/second) Siphon ACA MCA1 MCA2 MCA3 Right 95 / 41 73 / 30 208 / 114 70 / 31 54 / 27 Left 124 / 54 74 / 28 168 / 73 118 / 42 50 / 23 PCA VA BA Right 56 / 32 60 / 32 64 / 29 Left 57 / 30 49 / 27 CCA:Common carotid artery;D1:Diameter of CCA; IMT:intima-media-thickness; BIF:Bifurcation of common carotid artery F:Failure ; ICA: Internal carotid artery ; ECA:External carotid artery; VA:Vertebral artery ; D2:Diameter of vertebral artery ACA:Anterior cerebral artery ; MCA:Middle cerebral artery; 1:proximal;2:middle;3:distal part PCA:Posterior cerebral artery ; BA:Basilar artery Finding : ATHEROSCLEROSIS. Conclusion : ECD: 1. MILD ATHEROSCLEROSIS OF BILATERAL CCA, WITHOUT HEMODYNAMIC CHANGE. 2. FORWARD FLOW DIRECTION OF BILATERAL OPHTHALMIC A. TCD: 1. DECREASED FLOW VELOCITY OF LEFT VERTEBRAL A, INDICATE DISTAL STENOSIS OF LEFT VERTEBRAL A. Dr. MH,CHOU.頸動脈超音波檢查Carotid Color Duplex (systolic/diastolic velocity in cm/second) US No: 21848 CCA1 CCA2 D1(mm) IMT(mm) BIF ICA1 ICA2 Right 117 / 30 149 / 40 5.1 0.6 143 / 38 123 / 31 124 / 47 Left 79 / 29 154 / 45 5.3 0.6 130 / 26 138 / 44 137 / 58 ICA3 ECA1 ECA2 VA D2(mm) Subclavian Ophthalmic Right 133 / 57 121 / 33 144 / 17 57 / 25 3.5 N / N 40 / 8 Left 158 / 60 114 / 23 83 / 13 53 / 20 2.8 N / N 42 / 9 TCI Transcranial Imaging (systolic/diastolic velocity in cm/second) Siphon ACA MCA1 MCA2 MCA3 Right 95 / 41 73 / 30 208 / 114 70 / 31 54 / 27 Left 124 / 54 74 / 28 168 / 73 118 / 42 50 / 23 PCA VA BA Right 56 / 32 60 / 32 64 / 29 Left 57 / 30 49 / 27 CCA:Common carotid artery;D1:Diameter of CCA; IMT:intima-media-thickness; BIF:Bifurcation of common carotid artery F:Failure ; ICA: Internal carotid artery ; ECA:External carotid artery; VA:Vertebral artery ; D2:Diameter of vertebral artery ACA:Anterior cerebral artery ; MCA:Middle cerebral artery; 1:proximal;2:middle;3:distal part PCA:Posterior cerebral artery ; BA:Basilar artery Finding : ATHEROSCLEROSIS. Conclusion : ECD: 1. MILD ATHEROSCLEROSIS OF BILATERAL CCA, WITHOUT HEMODYNAMIC CHANGE. 2. FORWARD FLOW DIRECTION OF BILATERAL OPHTHALMIC A. TCD: 1. DECREASED FLOW VELOCITY OF LEFT VERTEBRAL A, INDICATE DISTAL STENOSIS OF LEFT VERTEBRAL A. Dr. MH,CHOU.