How to treat dizziness caused by insufficient cerebral blood supply

Jan 23, 2025 Source: Cainiu Health
Disease description:

Two days ago, my father suddenly fainted at home. After taking him to the hospital for examination, it was determined to be caused by cerebral ischemia (insufficient blood supply to the brain). I would like to ask the doctor, what is the recommended treatment for cerebral ischemia in daily life?

Doctor's answer (1)
Dr. Lv Zhiqin

Cerebral hypoperfusion, commonly referred to in medicine as cerebrovascular insufficiency or cerebral ischemia, is mainly treated through the following approaches:

1. Medication Therapy:

  • Vertigo-suppressing medications: such as betahistine and difenidol, which can rapidly alleviate symptoms of dizziness.
  • Vasodilating medications: such as nimodipine, alprostadil, and vinpocetine, which can improve cerebral blood circulation and relieve hypoperfusion.
  • Antiplatelet agents: such as aspirin and clopidogrel, which help prevent thrombus formation and maintain smooth blood flow.
  • Blood-activating and stasis-resolving medications: such as Tiandan Tongluo Capsules and Ginkgo biloba extract tablets, which aid in improving cerebral microcirculation.

2. Treatment of Underlying Conditions: Conditions such as hypertension, diabetes, and hyperlipidemia require appropriate antihypertensive, hypoglycemic, and lipid-lowering medications to control the disease and reduce the risk of cerebral hypoperfusion.

3. Surgical Treatment: If vascular stenosis is severe, endovascular interventions such as stent placement may be considered to restore vascular patency.

4. Physical Therapy: Techniques such as transcranial magnetic stimulation and vestibular rehabilitation training can regulate vascular and vestibular functions, alleviating dizziness.

5. Traditional Chinese Medicine (TCM): Comprehensive treatment with oral herbal medicine and acupuncture may also effectively relieve dizziness caused by cerebral hypoperfusion.

6. Daily Care: Maintain regular sleep patterns, follow a balanced diet with adequate nutrition, engage in appropriate physical activity, and keep warm to avoid cold exposure.

If severe or persistent dizziness occurs, prompt medical attention should be sought to avoid delaying treatment.