Dear Dr. Roach: Im a 66-year-old man who has had two strokes in two years. The surgeon said that what caused the strokes both times is that arteries that supply blood to my brain are too small. The surgeon said brain surgery was too dangerous. All he did was change my meds. My concern is whether this treatment is enough to prevent another stroke. Im afraid I may have a third and final stroke! Dr. Roach, are there any other treatments available? Can this problem be helped with stents or stem cells? J.B. Answer: A stroke is very similar to a heart attack. Not enough blood flows to the brain, and some of the brain cells die, and the brain forms a scar. Depending on how much and what part of the brain is affected, the effect can be anywhere from unnoticeable to devastating. A TIA (transient ischemic attack) is similar to a stroke, except that symptoms last less than 24 hours, and it is thought to be from poor blood flow but without the resulting death of the brain cells. Treatment for an acute stroke, like a heart attack, should be done as quickly as possible in the hospital. … Continue reading
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