Cerebral infarction

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Written by Tang Bo
Neurology
1min 19sec home-news-image

What foods should not be eaten in the case of a cerebral infarction?

Stroke refers to the necrosis of brain tissue, causing a series of neurological functional deficit symptoms. The dietary requirements for stroke must be determined comprehensively based on the patient's own condition and underlying diseases. For instance, common risk factors for stroke include hypertension, diabetes, hyperlipidemia, and elevated homocysteine levels, along with unhealthy habits such as smoking and drinking. If the patient has hypertension, a light diet should be emphasized. If they have hyperlipidemia, fatty foods should be avoided in favor of a low-fat diet. In cases of high homocysteine levels, it is advisable to consume foods rich in vitamins. Additionally, if the patient has diabetes, they must adhere to a diabetic and low-sugar diet. Therefore, what food can be consumed depends on the patient's underlying diseases and the symptoms of the stroke. If the patient has swallowing difficulties, care must be taken to avoid hard foods as this could lead to choking and potentially cause a lung infection. Thus, the patient's individual condition must be taken into account when deciding their diet.

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Written by Zhang Hui
Neurology
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Treatment of Cerebral Infarction

As society ages, the incidence of cerebral infarction is also increasingly higher, making rational treatment extremely important. Generally, the treatments for cerebral infarction include the following methods: The first point is intravenous thrombolysis, which is a very important treatment plan. If patients can reach the hospital within the thrombolysis time window and are assessed by a neurologist as having no contraindications, they can undergo intravenous thrombolysis treatment, from which many patients benefit. Second, with the advancement of medicine, some patients can also undergo interventional surgery for arterial thrombectomy. Third, the treatment for most patients mainly involves the use of antiplatelet drugs and statins. Additionally, medications that clear free radicals and protect brain cells are provided, along with scientifically-based rehabilitation training.

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Written by Tang Bo
Neurology
1min 12sec home-news-image

Cerebral infarction X-ray manifestations

Brain infarction generally does not involve X-rays because X-rays primarily target bone issues, not brain tissue issues. If a brain infarction occurs, a cranial CT or MRI can be performed. In acute cases of sudden onset, a cranial CT is primarily used to exclude cerebral hemorrhage, as brain infarction typically does not show up in the acute phase. However, in cases of extensive brain infarction, changes might also appear on a CT during the acute phase. Additionally, after the acute phase, about 1 day or 24 hours later, brain infarctions generally appear as low-density shadows on a CT. On an MRI, in diffusion imaging, brain infarctions generally appear as high-density, high-signal areas, while they appear as low-signal areas in T1 imaging and high-signal areas in T2 imaging. It is also suggested to perform cranial magnetic resonance angiography to examine the status of the blood vessels.

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Written by Sheng Wang
Neurology
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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.

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Written by Tang Bo
Neurology
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Can lacunar infarction be treated?

Lacunar stroke is a type of cerebral infarction. It occurs due to long-term hypertension or other causes leading to arteriosclerosis in the small vessels inside the skull or other thrombus formations, leading to stroke. It is treatable, and the treatment is generally the same as for other types of strokes. Early on, depending on the patient’s condition, thrombolytic treatment can be chosen if it is within 4.5 hours from onset. However, if the symptoms are mild, the benefits and risks should be weighed. Treatment may also include antiplatelet therapy to improve circulation, lipid-lowering, and plaque stabilization. It is also necessary to tailor treatment to the individual patient and to further investigate whether there is significant narrowing of the vessels to guide prognosis.

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Written by Tang Bo
Neurology
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Can someone with lacunar infarct work?

In cases where a lacunar stroke is discovered, it might be because symptoms have appeared, prompting a check-up that identifies the lacunar stroke. Such situations require proactive treatment; it is necessary to go to the hospital to decide when the treatment should end, after which one can continue working. If, however, a lacunar stroke is found during a routine physical exam without any symptoms, it might have been present for a while without causing any symptoms. In this scenario, one can continue working. However, regardless of the situation, it is advisable to further investigate the blood vessels to check the overall status of the vasculature.

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Written by Chen Ya
Geriatrics
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Can people who have had a cerebral infarction eat mutton?

Patients with cerebral infarction can appropriately consume mutton, but it depends on the specific condition of each individual. It is advised that those in the acute phase with internal phlegm-heat refrain from eating mutton. However, during the recovery or post-stroke phase, if the patient is weak, malnourished, and shows symptoms of yang deficiency, consuming mutton is appropriate as it is warm in nature and can nourish the kidney and yang, and warm and strengthen the body. Nevertheless, it is important to consume it in moderation to avoid excessive internal heat.

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Written by Tang Bo
Neurology
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What to eat for lacunar infarct.

Lacunar stroke is a type of cerebral infarction caused by small vessel disease that leads to the occlusion of cerebral vessels. Therefore, the dietary recommendations for lacunar stroke are similar to those for general stroke. For patients who are overweight, it is important to control body weight. It is recommended to reduce the intake of animal liver and other organ meats, as well as foods high in cholesterol or fat. It is advisable to consume high-quality proteins such as milk, duck, fish, and soy products. The intake of pork, beef, and lamb, especially fatty cuts, should be minimized and lean meats should be emphasized. Additionally, it is beneficial to consume more vitamin-rich foods such as tomatoes and fruits, and to increase the intake of vegetables. Diets should be light and avoid excessive salt intake to prevent hypertension, which can also lead to lacunar stroke.

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Written by Chen Ya
Geriatrics
33sec home-news-image

Brain infarction refers to the condition.

A cerebral infarction, commonly abbreviated, is typically referred to in full as thrombotic cerebral infarction or cerebral thrombosis. The most common cause is the formation of a local thrombus or from distant sites, such as the heart or major blood vessels, causing ischemia, hypoxia, and other disturbances in the cerebral blood supply. This results in localized ischemic necrosis or softening of brain tissue, leading to corresponding neurological deficits and signs.

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Written by Chen Ya
Geriatrics
1min 3sec home-news-image

How long can someone with a complete paralysis from a cerebral infarction survive?

The life expectancy of patients with total paralysis from cerebral infarction cannot be generalized, as it depends on the size and location of the stroke, as well as the treatment received. A larger affected area, especially if the stroke occurs in a critical area like the brainstem, and if treatment is delayed, may result in the patient not surviving the acute phase due to high intracranial pressure, which can be fatal. If a patient survives the acute phase and moves into the residual effects phase, the outcome will depend on the rehabilitation treatment received, as well as care from family and community nursing. Such patients are prone to complications, such as pneumonia, which can be life-threatening. The initial stroke may not be fatal, but the treatment outcomes vary significantly. Some patients, if well cared for and treated promptly without recurring episodes, can have a comparatively long lifespan.