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Neurology — Cerebrovascular Disease

Comprehensive evaluation and management of ischaemic and haemorrhagic strokes and transient ischaemic attacks.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Neurology — Cerebrovascular Disease?

Cerebrovascular disease encompasses ischaemic stroke (large-vessel occlusion, small-vessel disease, cardioembolic), haemorrhagic stroke (intracerebral, subarachnoid) and transient ischaemic attack (TIA).

Ischaemic events account for approximately 85 percent and arise from atherothrombosis, embolism or in situ small-vessel occlusion.

Acute management is highly time-sensitive: intravenous thrombolysis within 4.5 hours and endovascular thrombectomy within 24 hours for large-vessel occlusion can be transformative.

Symptoms

Sudden focal weakness or numbness (face, arm, leg)
Acute speech disturbance (aphasia, dysarthria)
Sudden visual loss (monocular or hemianopia)
Sudden severe headache (subarachnoid haemorrhage)
Acute vertigo, ataxia and gait instability
Seizure or altered consciousness in haemorrhagic events

Risk Factors

Hypertension (single most important modifiable risk)
Atrial fibrillation, valvular heart disease
Diabetes mellitus and dyslipidaemia
Smoking, sedentary lifestyle and obesity
Carotid stenosis, cerebral aneurysm and AVM
Older age, family history and prior TIA or stroke

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Any sudden neurological deficit (BE FAST signs) — call emergency services
  • Sudden severe (thunderclap) headache
  • Transient focal symptoms even if resolved (TIA — high subsequent stroke risk)
  • Worsening neurological status during hospital admission

Treatment Methods

01
Immediate non-contrast CT, CTA and CT perfusion or MRI
02
Intravenous tPA within 4.5 hours for eligible ischaemic stroke
03
Endovascular thrombectomy for large-vessel occlusion within 6 to 24 hours
04
Blood pressure, glucose and temperature control; aspirin 24 hours after thrombolysis
05
Secondary prevention: antiplatelet, anticoagulation for AF, statin, blood pressure control
06
Multidisciplinary stroke unit care, early rehabilitation and lifestyle modification

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.