We have a highly skilled team who can provide a wide range of services from diagnosis to treatment.
Cerebrovascular disease includes all diseases in which an area of the brain is temporarily or permanently affected by ischemia (lack of blood) or bleeding, and one or more of the cerebral blood vessels are damaged or diseased.
The brain relies on the carotid and vertebral arteries for its blood supply. Often, the underlying cause of a stroke is carotid arteries blocked with a fat buildup called plaque. This blockage reduces blood going to the brain and increases the risk of a stroke. During a stroke, an artery in or on the brain's surface has ruptured or leaked, causing bleeding and damage in or around the brain.
The brain must get enough blood flow and oxygen as soon as possible. Without oxygen and important nutrients, the affected brain cells are either damaged or die within a few minutes.Once brain cells die, they cannot come back, and damage may lead to physical, cognitive, and mental disabilities.
Restrictions in blood flow may happen because of vessels narrowing (stenosis), clotting (thrombosis), being blocked (embolism), or ruptured (hemorrhage). Lack of sufficient blood flow affects brain tissue and may cause a stroke.
Cerebrovascular disease includes stroke, carotid stenosis, vertebral stenosis, intracranial stenosis, aneurysms, and vascular malformations.
The way cerebrovascular disease develops depends on the location of the blockage and its impact on brain tissue. Common symptoms of cerebrovascular diseases include:
It is a medical emergency when anyone shows a cerebrovascular attack symptoms because it can cause long-term problems, such as cognitive impairment and paralysis.
Atherosclerosis is a primary cause of cerebrovascular disease. It occurs when high cholesterol levels and inflammation in the brain's arteries cause cholesterol to build up as a thick, waxy plaque that narrows or blocks blood flow in the arteries. This can cause a cerebrovascular attack, such as a stroke or TIA (transient ischemic attack).
Damaged blood vessels are another common cause of cerebrovascular disease. Damaged blood vessels in the brain mean that the brain will not receive enough blood from the heart. The lack of blood means less oxygen and, without oxygen, brain cells will die.
At the hospital, a doctor will ask about your medical history and look for specific problems, including:
A doctor may use different tests to diagnose the type of cerebrovascular disease you have. These tests include:
Cerebral angiography: A catheter (a long, narrow, flexible tube) is inserted through the needle and into the artery. It is then threaded to the arteries of the neck. The contrast dye is then injected into the neck, and X-ray pictures are taken.
A cerebrovascular event is a medical emergency. Rapid treatment is crucial to avoid brain damage.
Two common surgeries include:
Prompt treatment and lifestyle changes that reduces cerebrovascular disease risk are the best ways to improve the outlook for a person with cerebrovascular disease.
Presbyterian Heart and Vascular Care has a skilled vascular care team who can provide a wide range of services from diagnosis to treatment. Their surgeons are trained in many different techniques and procedures, many of which can provide you with a shorter recovery period and less hospital time.