How is cerebral vascular stenosis treated?

Question
Hello doctor,
My father had a stroke and the treatment got better but now he is still a bit dizzy. My father went to the doctor again and said that there was a narrow blood vessel to the brain that caused dizziness. So the doctor asked me how to treat narrowing of the cerebral blood vessels to the brain? Is there any cure for vertigo? Thank you doctor.
Anonymous customer
Answer
Answered by Doctor Phan Dinh Thuy Tien - Department of Medical Examination & Internal Medicine, Vinmec Nha Trang International General Hospital.
Hello,
With the question “How to treat cerebral vascular stenosis? ", the doctor would like to answer as follows:
Cerebral vascular stenosis due to atherosclerotic disease is a chronic progressive disease, often caused by diabetes, hypertension, smoking, dyslipidemia,. ..
Basic treatment is a good diet and lifestyle for the heart, taking anti-atherosclerotic drugs and depending on the severity of the stenosis, surgical intervention can be performed. Treatment methods:
Medical:
Control blood pressure with drugs: Calcium channel blockers (amlodipine, felodipine,...), ACE inhibitors/receptor blockers (lisinopril, captopril, valsartan,... ), beta-blockers (metoprolol, bisoprolol,...),... Diabetes treatment: use pills or insulin depending on the level. Currently, there are drugs that have been proven to reduce cardiovascular risk such as: SGLT2 receptor inhibitors, GLP-1 agonists,... Statin therapy: Treatment of dyslipidemia, stabilizing atheroma. Commonly used drugs: Rosuvastatin, atorvastatin.. Antiplatelet: Aspirin, clopidogrel when indicated depending on the clinical situation Endovascular intervention: coronary stenting, carotid artery, limb vessel, ..arterial stent graft depending on the specific case
Surgery: Carotid endarterectomy.
Because it is a chronic disease, the patient will periodically visit a cardiologist for lifelong treatment, in order to prevent the disease from getting worse.
If you still have questions about the treatment of narrowing of the cerebral blood vessels to the brain, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!