Treatment Options for Dizziness Caused by Cerebral Hypoperfusion

Cerebral hypoperfusion refers to a condition where the brain receives inadequate blood supply, often linked to issues such as cerebral arteriosclerosis or vascular malformations. Effective treatment requires identifying and addressing the underlying causes. Broadly speaking, treatment approaches fall into two main categories: improving blood circulation and surgical intervention.

Improving Cerebral Blood Circulation

The first line of treatment focuses on enhancing blood flow to the brain. This begins with addressing the root cause. For individuals with hypertension, maintaining stable blood pressure is essential. Similarly, for those with hypotension, especially those prone to dizziness during posture changes, managing blood pressure through targeted medications can help stabilize cerebral blood flow.

In cases involving cerebral arteriosclerosis or atherosclerotic plaques, lifestyle modifications such as quitting smoking and controlling blood sugar levels are crucial. Medications that prevent clotting and improve circulation are commonly prescribed. Antiplatelet agents like aspirin and clopidogrel help reduce the risk of clot formation, promoting smoother blood flow. Additionally, supplements such as ginkgo biloba, known for their ability to support endothelial function and enhance microcirculation, may be used to improve cerebral perfusion.

Surgical Interventions for Severe Cases

When arterial stenosis exceeds 70%, surgical treatment is often necessary. Procedures such as angioplasty with stent placement can effectively restore adequate blood supply to the brain, significantly reducing symptoms like dizziness and preventing further complications.

Complementary Approaches in Traditional Chinese Medicine

In traditional Chinese medicine (TCM), treatment strategies for cerebral hypoperfusion are based on two principles: nourishing and unblocking. When dizziness stems from insufficient qi and blood, tonifying herbs like ginseng and angelica root (dang gui) are used to replenish energy and improve circulation. Alternatively, when the issue is related to blood stasis, herbs such as salvia (dan shen) and ginkgo leaf are employed to promote blood flow and enhance oxygen delivery to the brain tissue.