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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Stroke, Blockage In Artery, Headache, Nosebleed. What To Do?

I am a65 year old woman and have just learned yesterday form my neurologist that since I had stroke around Easter. that i do have a 60% blockage in the artery going to one side of my brain and a 70% blockage in the artery going to the other side. I am having severe headaches and nose bleeds but the dr said he doesn;t do headaches or nose bleeds. I was told by him not any pain medication or even over the counter meds. He also said that the blockages were inoperable because too many people have bled to death during the surgery. What to do?????
Wed, 25 Sep 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

Based on your description, you seem to have suffered brain strokes. In addition, there is blockage of blood supply in both carotid arteries. The initial treatment is with medications such as aspirin and statins. Aspirin is a blood thinner, and may be responsible for nose bleeds.

For carotid block (stenosis), there are two possible treatments. One is stenting done by interventional radiologist, and the other is surgery called as endarterectomy. Both the procedures are safe and the complication rate is less than 5% in the hands on experienced doctors.

I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Had Stroke, Blockage In Artery, Headache, Nosebleed. What To Do?

Hi, Thank you for posting your query. Based on your description, you seem to have suffered brain strokes. In addition, there is blockage of blood supply in both carotid arteries. The initial treatment is with medications such as aspirin and statins. Aspirin is a blood thinner, and may be responsible for nose bleeds. For carotid block (stenosis), there are two possible treatments. One is stenting done by interventional radiologist, and the other is surgery called as endarterectomy. Both the procedures are safe and the complication rate is less than 5% in the hands on experienced doctors. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist