Dizziness and other discomforts caused by insufficient cerebral blood supply due to narrowing of blood vessels should be treated with targeted medication under doctor’s guidance, such as vasodilators, lipid-adjusting drugs, antiplatelet agents, anticoagulants, drugs to improve cerebral circulation, thrombolytics, neuroprotective drugs and so on; if necessary, consider surgical treatment.
1. Vasodilator drugs: such as prostaglandin, etc., which can help to open the collateral circulation as well as relieve pain;
2. Lipid-adjusting drugs: such as simvastatin, atorvastatin, etc., which can reduce the level of triglyceride, help stabilize plaque and avoid further narrowing of blood vessels;
3. Antiplatelet and anticoagulant drugs: such as aspirin, clopidogrel, warfarin, etc., which can maintain smooth blood flow and improve blood supply to the brain;
4. drugs to improve cerebral circulation: such as betahistine, flunarizine, nimodipine, prostaglandin injection, etc;
5. Thrombolytic drugs: commonly used heavy tissue-type fibrinogen activator and urokinase, which can dissolve thrombus, restore blood flow and improve tissue metabolism as early as possible;
6. neuroprotective drugs: such as edaravone, cytarabine, gangliosides, etc., which can improve cell tolerance to ischemia and hypoxia.
7. In addition, carotid endarterectomy or carotid angioplasty and stenting may be required if the patient has severe stenosis.
The management of dizziness caused by insufficient cerebral blood supply due to stenosis mainly depends on the severity, and it is recommended that patients follow the doctor’s instructions to standardize the treatment, and do not blindly self-medication.