Coronary artery surgery , such as an endarterectomy, may be indicated. An endarterectomy opens the narrow portion of the artery and increases the blood flow to the brain. People with carotid stenosis should also work closely with their healthcare providers to control other risk factors for stroke. Depending on the blood levels and the person's other risk factors, medications to lower cholesterol may be given. For most individuals, a well-balanced diet following the food guide pyramid will provide enough folic acid and B vitamins to maintain a healthy homocysteine level.
Some people have early warning signs that they are at risk for strokes.
This is a type of reversible stroke that often goes away after a few minutes. These people can often get treatment that will prevent a stroke in the future. For instance, they may be advised to take aspirin or have carotid artery surgery to correct a blockage in a neck artery. The first step in diagnosis of stroke is a medical history and physical exam. This may be all that is needed to make the diagnosis.