Cerebrovascular Diseases: Which Medical Department to Visit

Cerebrovascular diseases are primarily categorized into two major types: hemorrhagic and ischemic. These conditions require specialized treatment from either neurosurgery or neurology departments. Understanding which department to consult depends on the nature and severity of the condition.

Ischemic Cerebrovascular Disease and Treatment Options

Ischemic cerebrovascular disease, such as minor or early-stage cerebral infarction, is typically managed through conservative treatment in the neurology department. These treatments may include medication to dissolve clots, blood thinners, and close monitoring to prevent further complications.

When Surgical Intervention Is Necessary

However, in cases involving large-area cerebral infarction that leads to significant intracranial pressure, severe internal carotid artery stenosis, or conditions like Moyamoya disease, surgical intervention by a neurosurgeon becomes essential. These situations often require procedures such as angioplasty, stenting, or bypass surgery to restore proper blood flow to the brain.

Hemorrhagic Cerebrovascular Disease: Medical and Surgical Approaches

For hemorrhagic cerebrovascular diseases, the treatment approach depends on the volume and cause of the bleeding. Small amounts of cerebral hemorrhage can often be treated medically with drugs to control blood pressure and reduce brain swelling.

Neurosurgical Treatment for Severe Cases

In more severe cases, such as those involving large hemorrhages, aneurysms, or vascular malformations, immediate neurosurgical intervention is required. These patients are typically referred to the neurosurgery department for procedures like aneurysm clipping, endovascular coiling, or removal of arteriovenous malformations (AVMs).