Cerebral Stenosis

Cerebral Stenosis

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Duke's neurosurgeons identify and treat cerebral stenosis, also known as intracranial stenosis, which occurs when blood flow to the brain is restricted by arteries narrowed or blocked by plaque. We use sophisticated imaging to diagnose the severity of your condition, and aggressively treat brain stenosis to reduce your risk of stroke. If surgery is recommended, our highly skilled surgeons open blockages in the small twisting vessels found deep within the brain.

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Treatments

Medication

Your symptoms and condition will indicate whether cholesterol-lowering drugs, high blood pressure medications, and blood thinners are prescribed to lower your risk for serious complications.  

Intracranial Balloon Angioplasty and Stenting

A small flexible balloon is used to open the narrowed or blocked artery, and a small cylindrical device called a stent is placed to keep the blood vessel open. While there are some risks to this procedure, preliminary evidence suggests this combination is more effective than medication alone in preventing long term stroke.

Cerebral Artery Bypass

Reroutes blood flow around blocked, narrowed or damaged arteries in the brain. Often essential in emergencies, a cerebral bypass may be required to restore healthy blood flow.

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Duke Health offers locations throughout the Triangle. Find one near you.

Tests

CT Scans

High resolution images the brain vessel indicate where the brain's blood supply may be restricted by a narrowed or blocked artery.

Magnetic Resonance Angiogram (MRA)

A contrast dye is injected through an IV to create images of blood flow in the arteries and blood vessels in the neck and brain.

Cerebral Angiography

A catheter is inserted into a large artery and threaded through the circulatory system. A contrast agent is injected to capture images that allow neuroradiologists -- specialists in the nerves found in the brain and spine -- to view abnormal connections within arteries and veins and plan the appropriate treatment.

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Why Choose Duke

Experienced Team Approach
Your team will include stroke neurologists who provide comprehensive medical management. If you require stenting, procedures are performed by neuro-interventionists who have undergone advanced training in minimally invasive image-based technologies and procedures.

Access to the Latest Research
Our doctors and surgeons participate in clinical trials to determine the best way to treat brain stenosis. You may be eligible to participate in clinical trials, and have access to the latest treatment options, which may not be widely available.

Less Invasive Therapies
We are experts in minimally invasive and less invasive techniques that repair veins and arteries, reduce brain bleeding, and resume a healthy blood flow.

Best Neurology, Neurosurgery in North Carolina
When it comes to your care, you want the very best. Duke University Hospital's nationally ranked neurology and neurosurgery program was named best in North Carolina by U.S. News & World Report for 2019–2020.