Rationale:
Intracranial artery stenosis is an important cause of ischemic stroke, and MCA is one of the most common vessels causing intracranial artery stenosis. At present, there are 3 main treatments for MCA stenosis: medical drug therapy, surgery, and endovascular interventional therapy.
Patient concerns:
We report a patient with severe middle cerebral artery stenosis, including his imaging and clinical manifestations.
Diagnosis:
Severe stenosis of middle cerebral artery.
Interventions:
Banxia Baizhu Tianma decoction combined with Taohong Siwu decoction combined with western medicine.
Outcomes:
The stenosis of M1 segment of middle cerebral artery was significantly improved, the stenosis rate was reduced from 70% to 30%, and the clinical symptoms of the patients basically disappeared.
Lessons:
Banxia Baizhu Tianma decoction combined with Taohong Siwu plus subtraction combined with western medicine is effective in the treatment of middle cerebral artery stenosis.