椎基底動脈迴圈不全的手術適應症-神經外科

椎基底動脈循環不全？

醫生您好 因頭痛暈眩 右耳深處疼痛 右腿無力(無法抬腿但仍可緩慢行走) 站立閉眼時會往後倒於慢性鼻竇炎術後兩個月照了核磁共振 至今未癒 前日起開始左胸會刺痛(偶爾)及心臟跳得很大力 呼吸短促(但血氧正常) 臂及手指.大腿刺痛(皆是右半邊) 請醫生幫我看看當初報告的內容 是否適合手術?求診過的醫生僅表示右邊椎動脈狹窄 頸椎退化 椎基底動脈循環不全 另鼻竇傷口已復原 再追蹤即可the TOF MRA shows hypoplasia of the right vertebral artery relatively small caliber is noted at the supraclinoid and cavernous segments of the right ICA when comparing with the left sidesuspected post-operative change at the right nasal cavity at T2W sagittal view and T2WI of C-spine shows protruding disc at the C4-5 level causing mild thecal sac indentationno difinite focal lesions at bilateral cerebellopontine anglefluid collection at the sphenoid sinus and bilateral maxillary sinusessuspected sinusitis of sphenoid sinus and bilateral maxillary sinusesprobably mild narrowing at the supraclinoid and cavernous segments of right ICAsuspected contact of the right AICA loops with right 7th 8th eranial nervesuggest clincal correlation and follow-up感謝醫生撥空回復 萬分感激