How to treat middle cerebral artery stenosis


Restoring balance, one patient at a time.
Middle cerebral artery is one of the main blood supply arteries of cerebral hemisphere. The main reason of stenosis is arteriosclerosis, intimal thickening or plaque formation, which gradually reduces the inner diameter of blood vessels. When the middle cerebral artery stenosis is serious or even occluded, its blood supply area is ischemic, which can show contralateral facial paralysis, hemiplegia, sensory disturbance, hemianopia, etc. If the dominant hemisphere is involved, it can also show language disorder. For stenosis of the middle cerebral artery, different degrees, treatment methods are different. For M1 segment, that is, the most distal stenosis of the middle cerebral artery, if severe stenosis, stenosis rate of more than 50% of the middle cerebral artery stenosis, can be considered if the condition allows, receive neural intervention. However, most of the middle cerebral artery stenosis is caused by arteriosclerosis, which is part of systemic arteriosclerosis. If the stenosis of the middle cerebral artery is less than 50%, there is no serious result, it is necessary to follow the drug treatment scheme of arteriosclerosis, strict anticoagulation and antiplatelet, blood pressure control, blood lipid control, blood sugar adjustment and other risk factors, and at the same time, the patient should quit smoking and alcohol restriction, live regularly and maintain a happy mood.