In June this year, I met an old lady, 68 years old, who had more than 10 recurrent cerebral ischemic attacks in 2 years, with sudden dizziness, weakness, numbness and even falls, each lasting from half an hour to 8 hours, but fortunately she recovered from each attack with medication, leaving no serious sequelae. However, the recurrent attacks seriously affected her normal life and that of her family. She did not dare to go out and visit her neighbors and relatives, and her family did not dare to leave her for fear that she would not be rescued in time for another attack, which made the family very nervous and seriously anxious. After I saw her in the clinic, I learned that she had been hypertensive for more than 20 years, diabetic for 10 years, with many risk factors, and told her that she might have severe stenosis of the cerebral vessels, and first did an ultrasound of the neck vessels, which revealed multiple plaques in the neck vessels, but there was no severe stenosis, which did not seem to match the patient’s symptoms, so I asked her to do an MRA of the cerebral vessels again. The patient’s life was in danger. I introduced the current situation and possible treatment options to the patient and her family, and although they were worried about the risks of surgery, they still insisted on stenting. The patient said to me, “Doctor, I only want to live another 10 years.” I said, “Madam, you can live another 20 years if the operation is successful!” The lady laughed and said, “Doctor, don’t lie to me, I’ve already told my children that in case of complications from the surgery, it’s my fate, it’s impossible to live for another 10 years. Facing such a sincere and simple patient, all I can do is to do my best and wish her good luck! On the second day of hospitalization, surgery was scheduled. First, a cerebral angiogram was done to confirm the findings of the cranial MRA, and the right internal carotid artery was severely stenosed. The operation went well and the result was very good. The patient was discharged 3 days after the operation and has not had any ischemic attack since 6 months ago. Recurrent ischemic attacks are usually caused by cerebral vascular stenosis, so once you have recurrent dizziness, weakness, numbness or even fall, you must pay attention to it, seek medical consultation from a cerebrovascular specialist and do some necessary examinations such as cervical vascular ultrasound and cerebrovascular MRA. Meanwhile, a healthy lifestyle is very important to prevent cerebrovascular disease, including a light diet, moderate exercise, quitting smoking, and controlling high blood pressure, high blood sugar and high blood lipids. Treatment for cerebrovascular stenosis includes medication, stenting, endothelial stripping, etc. The specific choice of treatment needs to be decided after a thorough evaluation by a specialist.