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Brain atrophy
Does cerebellar atrophy cause confusion?
Cerebellar atrophy primarily affects the coordination functions of patients, leading to symptoms such as unstable walking and unsteady handling of objects with the hands. This condition does not have a significant connection with human consciousness, and does not affect the reticular structure of the brainstem or the cerebral cortex. Therefore, patients with cerebellar atrophy do not experience confusion or cognitive impairments. If a patient with cerebellar atrophy does exhibit confusion, it is important to consider other possible causes, such as electrolyte disturbances due to poor food intake or concurrent diseases, such as cerebral cortex thrombosis, hemorrhage, or brainstem infarction. It is necessary to conduct additional laboratory tests and cranial magnetic resonance imaging to confirm these conditions.
The difference between cerebral atrophy and cerebellar atrophy.
Whether it is cerebral atrophy or cerebellar atrophy, these are concepts in imaging. They are generally detected through cranial CT or MRI scans, resulting in such diagnoses in imaging reports. Generally, cerebral atrophy mainly refers to the atrophy of the cerebral cortex, which includes areas like the frontal lobe, temporal lobe, hippocampus, and parietal lobe. The cerebral cortex is closely related to cognitive functions, movement, sensation, and emotions of the limbs. Patients with cerebral atrophy typically show a decline in intelligence, slow reactions, and dysfunction of bladder and bowel control, etc. The cerebellum mainly coordinates the body's integrative movements and ensures the fluent execution of limb movements. Therefore, cerebellar atrophy primarily leads to symptoms of ataxia, like finger tremors and unsteady walking.
Is cerebellar atrophy hereditary?
Whether cerebellar atrophy is hereditary depends on the cause of the atrophy. In neurology, there is a disease called spinocerebellar ataxia, which is caused by genetic mutations and results in significant ataxic symptoms. The imaging studies show cerebellar atrophy. This disease can be inherited, so it is important to conduct prenatal counseling to promote eugenics. Cerebellar atrophy caused by other reasons is not hereditary. For example, if the atrophy is due to neurodegenerative disease such as multiple system atrophy, there is no clear genetic tendency. If the atrophy is caused by a cerebellar infarction, it is also not hereditary.
What should I do about brain atrophy?
Brain atrophy includes both physiological and pathological types. Physiological brain atrophy generally occurs as age increases, similar to how wrinkles appear on the face. This type does not usually present symptoms and typically does not require treatment, as some degree of brain shrinkage may happen with age. Pathological brain atrophy, however, can occur in younger individuals and requires investigation to determine the underlying cause. Diagnostic tests should be conducted to clarify the cause of the atrophy and identify any specific diseases, which will guide the treatment plan. Additionally, some patients may experience atrophy due to past events like cerebral hemorrhage or stroke, which are caused by specific lesions. In such cases, treating the original disease is the approach taken, so the treatment plan for brain atrophy should be based on the specific circumstances.