Recurrent brain infarcts are caused by polycythemia vera, sickle cell disease, atherosclerosis, heart disease like
atrial fibrillation, diabetes, hyperviscosity syndromes, smoking, hyperlipidemia, hypertension, septicemia etc. All these result in either narrowing or a brain blood vessel or its occlusion by a clot. Total stroke care which involves maintaining respiration, taking care of heart function, reducing brain edema, thrombolysis etc help the patient recover.