Centers of Excellence

Heart & Vascular Center

Cerebrovascular Disease

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You can schedule an appointment with our neurology team by calling 617-207-6143 or by submitting a request through our secure online form. We're here to support you every step of the way.

Cerebrovascular disease refers to the group of conditions that interfere with blood flow to your brain, such as strokes. Some of these conditions reduce blood flow because of a blockage. Others cause bleeding due to a rupture in blood vessels supplying blood to the brain. Cerebrovascular disease is a medical emergency that requires immediate medical attention—it's the fifth leading cause of death in the U.S.

What Is Cerebrovascular Disease?

Cerebrovascular disease is a general term describing all the conditions that affect blood supply to the brain. Your brain needs a constant supply of blood to function, and even a brief interruption in the blood supply can cause serious complications.

For most people, stroke is the most familiar form of cerebrovascular disease. Other types of cerebrovascular disease include stenosis (narrowing of the blood vessels) in the head and neck, aneurysms, and vascular malformations.

Types of Cerebrovascular Disease

There are more kinds of cerebrovascular disease than most people are familiar with:

  • Ischemic stroke: This is the most common kind of stroke. It occurs when a blockage, usually a blood clot, reduces or cuts off blood flow to the brain.
  • Transient ischemic attack (TIA): Also called a "mini-stroke," TIAs are similar to ischemic strokes but last only a short time. This type of stroke may not have lasting consequences on its own but is often a precursor to a full ischemic stroke.
  • Hemorrhagic stroke: A less common but more deadly kind of stroke that occurs when a blood vessel ruptures, causing bleeding in or around the brain.
  • Stenosis: A narrowing of an artery, which reduces blood flow. Stenosis can occur throughout the body but is considered a cerebrovascular disease when it affects arteries supplying the brain, including the carotid artery (carotid artery stenosis), an artery in the brain (intracranial stenosis), or an artery in the neck supplying the brain (vertebral stenosis).
  • Aneurysm: When a blood vessel swells or develops a balloon-like bulge, it's called an aneurysm. When an aneurysm develops in a blood vessel in the brain, it is a form of cerebrovascular disease.
  • Vascular malformation: A rare, congenital (present at birth) condition in which the arteries and veins don't develop normally. They may be tangled or they may connect in ways they aren't supposed to. When a vascular malformation affects the blood vessels supplying the brain, it's considered cerebrovascular disease.
  • Cervical arterial dissection: When a blood vessel in the neck tears, it can affect blood flow to the brain. Tears can result from underlying conditions that weaken the blood vessels or from traumatic injuries to the neck.

The most common cerebrovascular disease is stroke, partly because it can result from other cerebrovascular diseases. For instance, vascular malformations in the brain can cause a hemorrhagic stroke if the blood vessels are connected in a way that creates too much pressure, causing the blood vessels to rupture.

What Causes Cerebrovascular Disease?

The causes of cerebrovascular disease depend on the specific condition.

Ischemic strokes are caused by blockages in the blood vessels, typically blood clots or fatty deposits in the arteries. Hemorrhagic strokes are usually the result of high blood pressure, which causes the brain's blood vessels to break.

Other, less common conditions have their own causes. They may result from a genetic condition, a developmental problem, or a traumatic injury.

Risk Factors for Cerebrovascular Disease

Risk factors associated with cerebrovascular disease include:

  • Advanced age
  • Male
  • Family history
  • Hyperlipidemia (elevated fats in the blood)
  • Hypertension (high blood pressure)
  • Smoking
  • Diabetes
  • Obesity
  • Diet high in saturated fat
  • Sedentary lifestyle

Head trauma is an additional risk factor for developing a brain aneurysm.

Cerebrovascular Disease Symptoms

The symptoms of cerebrovascular disease vary widely. Because these conditions affect the brain, it's possible to have symptoms in many parts of the body, depending on what part of the brain is affected. Some of the most common are:

  • Slurred speech
  • Trouble understanding others
  • Sudden, severe headaches
  • Paralysis or weakness, especially on one side of the body
  • Loss of vision or other senses
  • Dizziness
  • Fainting
  • One-sided facial droop

What are the early signs of a stroke? DaMarcus Baymon, MD, Emergency Medicine Physician at Brigham and Women's Hospital and Faulkner Hospital, describes how to quickly identify stroke symptoms using the F.A.S.T. acronym.

How Is Cerebrovascular Disease Diagnosed?

If you have symptoms of cerebrovascular disease, your doctor will perform a physical examination to determine what condition you might have. They may also order other tests, such as medical imaging, to better understand the problem.

Common tests for cerebrovascular disease include:

  • Head Computed Tomography (CT)
  • Head & neck CT angiography (CTA)
  • Brain Magnetic Resonance Imaging (MRI)
  • Brain Magnetic Resonance Angiography (MRA)
  • Digital Subtraction Angiography (DSA)Spine fluid analysis
  • Duplex ultrasound

Cerebrovascular Disease Treatment

Treatments for cerebrovascular disease vary depending on the condition you have.

Vascular specialists can treat other cerebrovascular diseases with appropriate therapy. They'll develop a personalized plan based on:

  • Age
  • Overall health
  • Medical history
  • Severity and form of the disease
  • Tolerance for specific medications or procedures
  • Expectations for the course of the disease
  • Presence of other conditions

They may recommend lifestyle changes to reduce your risk and medical treatments. These may include surgery or vascular medications to reduce clots, lower blood pressure, or lower fats in the blood.

Stroke Treatment

Often, ischemic strokes and other blockages can be treated with drugs to dissolve the blockage, while hemorrhagic strokes may require doctors to drain the blood to relieve pressure and seal the leak to prevent further bleeding. Depending on the location, cause, and severity of the stroke, you may be a candidate for surgery like stereotactic radiosurgery or endovascular surgery.

Learn more about how strokes are diagnosed and treated.

Carotid Artery Surgery

There are two options for severe carotid artery narrowing. Currently, standard open surgical treatment is the best recommendation for most patients.

  • Carotid endarterectomy is performed through a small incision in the neck and involves a "shelling out" of the plaque from the diseased artery. This procedure removes the plaque from the inside of the artery wall and restores normal blood flow through the artery to the brain. The operation is generally well tolerated and involves a one- to two-day hospital stay. If appropriate, your doctor may recommend a new, catheter-based treatment for carotid artery narrowing.
  • Balloon stent angioplasty is a procedure in which a very thin wire and a small balloon are guided to the blockage in the vessel. A balloon is inflated to compress the plaque and open a channel through the blockage. A stent is then placed in the artery to keep the vessel open. This procedure does not require an incision in the neck and can be performed through a catheter introduced through the groin artery. This procedure also involves a one-day hospital stay.

After either standard carotid endarterectomy or balloon stent angioplasty, the progress of a patient’s carotid arteries is monitored with serial duplex ultrasound studies.

Surgical Treatments for Other Cerebrovascular Diseases

Emergency care for a ruptured cerebral aneurysm and treatment for a cerebral aneurysm that has not ruptured are provided by neurosurgical specialists.

Cerebrovascular Disease Prevention

Fortunately, many of the most significant risk factors for cerebrovascular disease are lifestyle factors you can control. To reduce your risk:

  • Don't smoke, use tobacco products, or take illegal drugs
  • Limit alcohol consumption
  • Maintain a healthy blood pressure
  • Stay active
  • Get regular check-ups with your doctor
  • Talk to your doctor about your medical and family history to evaluate your risk
  • Get treatment for conditions that raise your risk

Recovering from Cerebrovascular Disease

Getting treatment immediately is the most important factor in recovering from a cerebrovascular disease. The faster you're treated, the lower your risk of brain damage and the better your chances of recovery. The exact recovery and rehabilitation program you follow will vary by the condition, its severity, and the nature of the damage.

You'll often stay in the hospital for several days after your treatment. During that time, your care team will create an individual rehabilitation plan that may include physical therapy, speech therapy, psychological counseling, or other support based on the complications of your condition.

FAQs About Cerebrovascular Disease

Is cerebrovascular disease the same as stroke?

Cerebrovascular disease is a broad term describing any condition that affects blood flow to the brain. Stroke is one type of cerebrovascular disease, but there are others.

What is the most common cause of cerebrovascular disease?

That depends on the specific condition. Cerebrovascular disease is a category of conditions that affect the brain's blood supply. The most common form of cerebrovascular disease is ischemic stroke, which is caused by blood clots or plaque build-up blocking the flow of blood to the brain.

How can I increase blood flow to my brain?

The same lifestyle factors that help protect against cerebrovascular disease can also help maintain good blood flow to the brain. Staying active (especially aerobic exercise), quitting smoking, eating a diet high in antioxidants, and maintaining a healthy weight are all good for circulation.

If you suspect reduced blood flow to the brain, you should see a doctor immediately. Don't try to treat yourself with home remedies to increase blood flow. Cerebrovascular disease is a serious, often life-threatening set of conditions that require medical intervention as soon as possible.

Does drinking water help blood flow to the brain?

Staying hydrated can improve blood flow throughout the body and is a great choice for overall health. In some cases, dehydration may be a contributing factor to stroke.

However, drinking water isn't a substitute for appropriate medical attention. If you have symptoms of a cerebrovascular condition, you should get medical care immediately.

Can cerebrovascular disease be cured?

Conditions that affect the brain are often serious or life-threatening. Some people make a full recovery with treatment and therapy, but others live with long-term disability after a cerebrovascular condition. Getting immediate treatment for cerebrovascular disease raises your chance of recovery. Your best protection is to reduce your risk as much as possible.

Request an Appointment

You can schedule an appointment with our neurology team by calling 617-207-6143 or by submitting a request through our secure online form. We're here to support you every step of the way.

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