The unit immediately organized a physical examination and suddenly remembered: in November 2019, a brain MRI and related examinations were performed. The report suggested that 1. There were a few punctate cerebral ischemic foci near the right lateral ventricle. 2. Bilateral common carotid artery plaque is not smooth. 3. Blood pressure is normal, a little fat (1.76, 96 kg), blood lipid is sometimes high and sometimes normal, and the latest measurement is 1.76. Because the physical examination report did not prompt the need for medical treatment and there were no symptoms, there was no treatment. Want to ask: now go to the physical examination, the funds are limited, do you need to recheck the brain MRI? Or just check the color Doppler ultrasound of the neck?
The young male patient's previous head MRI showed a few ischemic foci. At present, if the patient has no clinical symptoms, it is not necessary to recheck the brain MRI. However, it is recommended that the patient check the color Doppler ultrasound of neck blood vessels, blood routine, liver function, kidney function, blood lipid, blood glucose, homocysteine and so on.
Hello, you don't have to worry about the occurrence of punctate cerebral ischemia in this case. You can have regular re examination, and then if you have high blood lipid. You must pay more attention to your usual diet, and then it is suggested that you can recheck this brain MRI.
According to the inspection report, your situation is that the cerebral ischemia focus is caused by atherosclerosis. You can take oral drugs for promoting blood circulation and dredging collaterals, such as Ginkgo biloba extract, combined with oral lipid-lowering drugs, atorvastatin calcium, antiplatelet accumulation drugs and aspirin. It is necessary to regularly recheck neck color Doppler ultrasound, transcranial Doppler, blood lipid, hemorheology, etc