Patient: 2 months before the onset of the disease, often dizzy dizziness, to Wuhan Tongji Hospital, examined, is the cerebral blood supply is insufficient, but did not find out the specific cause, the doctor can not help, now at home to walk a few steps head dizzy, all other functions are normal, 37 years old, dizziness will be complicated by hypertension, do not know what you have done to check? What are the results? How high is your hypertension? How well is it controlled with medication? Is the dizziness still there after the blood pressure has come down? Suggestions: Adjust the antihypertensive medication and lower the blood pressure to about 130/80 mmHg first; you can do tests: ultrasound of carotid artery and vertebral artery; (transcranial Doppler); CTA if necessary; and finally consider DSA (angiography). The blood vessels supplying blood to the cranium are: the bilateral carotid arteries and the bilateral vertebral arteries. They are divided into many branches into the cranium. I don’t know what was the basis for the previous diagnosis of cerebral ischemia. Since I suspect cerebral ischemia, I should be examined in this direction. Patient: I was hospitalized in the neurology department for more than a week, and all the tests I could do were done, and the final result was that the blood supply to all five arteries of the brain was slow, causing some ischemia in the brain. It started when I was driving a car one night after staying up late and suddenly got dizzy when my head was tilted backwards and I was backing up. The first month I was able to hold on, but the second month I couldn’t. My blood pressure was low and high, so I bought a blood pressure monitor and my blood pressure is now normal. I had my spine checked at Tongji and found that there was some osteophytes and hypertrophy in my spine. In the hospital, I can only take injections to make the condition better. The day before yesterday, I started to take Panax notoginseng capsules, but the effect has not yet come out. How should I treat this? How can I be completely cured? It is difficult to determine the exact situation without seeing your results. From the symptoms you describe, and your anxiousness of going crazy, I suggest you should have further tests and consider a DSA (cerebral angiogram). Patient: Thank you very much for your reply. It’s really embarrassing to always ask this. I would like to ask one last time. I had an MRI at Tongji and the findings were that the posterior cerebral arteries were thin and poorly branched. I would also like to ask you about your treatment options. I would also like to ask you to take time out of your busy schedule to answer. The main reason is that I don’t know your specific situation and dare not jump to a conclusion. The gold standard for the diagnosis of cerebrovascular disease is DSA (digital subtraction angiography), and with this test, the condition of the cerebral vessels can be basically clarified, and further treatment measures can be decided. Patient: I want to go to your hospital for a checkup. How much does a DSA cost? How much will the examination and treatment cost? I’d like to prepare for it, thank you. The cost of the examination is about 4,000, and since DSA is an invasive test, it requires hospitalization and a hospital deposit of about 10,000 yen. The cost of treatment depends on the type and amount of medical materials used for treatment.