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Sheng Wang
Neurology
About me
Graduated as a master's student, co-authored multiple books, participated in several national and provincial-level research projects, published numerous papers, and received further training at Xiangya Second Hospital and the Neurology Department of Beijing Friendship Hospital. Specializes in integrating traditional Chinese and Western medicine for treating cerebrovascular diseases and intracranial infectious diseases.
Proficient in diseases
Specializes in the integrated treatment of cerebrovascular diseases, intracranial infections, Parkinson's disease, myasthenia gravis, multisystem atrophy, optic neuromyelitis, multiple sclerosis, acute and chronic Guillain-Barré syndrome, and other related diseases.
Voices
Causes of Dysphagia after Stroke
The causes of dysphagia resulting from a stroke are largely related to the location of the stroke. Dysphagia mainly involves the glossopharyngeal and vagus nerves, which are distributed in the medulla oblongata of the brainstem. Therefore, if you have a brainstem stroke, specifically at the medulla oblongata, there is a significant chance of experiencing coughing due to aspiration and dysphagia. If the stroke occurs in a different area, these symptoms are unlikely to appear. A stroke in the cerebral hemisphere, since it has bilateral nerve supply, does not lead to noticeable coughing if only one side is affected. However, if one side is affected this year and the other side next year, similar symptoms of aspiration cough and dysphagia will occur. Therefore, neurologically, the location and specific site of the stroke are crucial, as each location presents different symptoms.
How is lacunar stroke treated?
Lacunar infarction is a cerebrovascular disease. For lacunar infarctions caused by arteriosclerotic atherosclerosis, the main treatment is to prevent recurrence of infarction and dislodged plaques that cause blockages. Therefore, it is necessary to initiate treatments like aspirin, antiplatelet therapy, and atorvastatin to lower blood lipids and stabilize plaques. It is also important to control risk factors such as high blood pressure, diabetes, smoking, as well as conditions like hyperuricemia and hyperhomocysteinemia.