What to do about severe stenosis of the middle cerebral artery

In general, severe stenosis of the middle cerebral artery can be treated with medications or surgical interventions, along with lifestyle modifications to promote recovery.

1. Medication: Severe stenosis of the middle cerebral artery is usually caused by cerebral atherosclerosis, and patients often have underlying conditions such as hypertension, diabetes, and hyperlipidemia. Under medical guidance, patients may take medications such as enteric-coated aspirin or clopidogrel sulfate to prevent excessive platelet aggregation and plaque detachment from the vessel walls. This helps alleviate severe narrowing of the cerebral arteries and prevents embolism.

2. Surgery: If the arterial narrowing is severe and medication proves ineffective, surgical treatment may be recommended under medical supervision. A stent can be placed inside the affected blood vessel to expand it appropriately and restore normal blood flow. In cases where multiple areas of vascular narrowing exist, doctors may recommend replacing the blocked or narrowed vessels with artificial grafts.

3. Lifestyle improvements: Maintain a light diet in daily life and avoid high-fat foods such as grilled items and fatty meats. Keep regular sleep patterns and avoid staying up late. Engage in moderate-intensity outdoor exercises to support physical recovery.