Cerebral vascular disease refers to a group of a related condition which adversely affects the flow of blood to the brain leading to inadequate or no supply of blood to the affected areas of the brain. There are quite a few number of ways in which the cerebral vascular disease may develop and the most common of them all is atherosclerosis. This is a condition in which inflammation in the brain arteries along with high levels of cholesterol leads to building up of cholesterol in the blood vessels making it thick and waxy. The formation of plaque may hinder or totally obstruct the flow of blood to the brain and this may cause secondary conditions such as stroke, cognitive impairment, transient ischemic attacks and paves the way for dementia over time. The cerebral vascular surgery treatment varies depending on the severity of the condition. Physical therapy is required in this case. First, a doctor would use the stethoscope for detecting an abnormality in sounds of blood flow which is called bruit along the neck region. But in case severe levels of atherosclerosis, the bruit in the neck may not be present. Before administering any drug, your doctor would look for distinct motor, neurological and sensory deficits. This may include abnormal reflexes, changes in vision, abnormal movements of the eyeball, weakness of muscles, decreased sensation and many other changes. In case of the acute condition of cerebral vascular disease, your spine surgeon may choose to operate the affected area without much delay.