Brain atrophy should be treated in the neurology department.

Written by Li Jian Wu
Pulmonology
Updated on September 15, 2024
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Cerebral atrophy is a type of vascular pathology. Patients need to visit the neurology department of a hospital for examination. Mild cases may lead to a decline in memory, while severe cases can affect intelligence and the ability to live normally. Patients with mild symptoms should timely follow medical advice to choose medications that nourish brain cells, and should also stabilize blood pressure, blood sugar, and blood viscosity. Engaging in intellectual games, exercising brain cells, having family companionship, participating in outdoor exercises to enhance immune capabilities, stabilizing the condition, and undergoing regular follow-ups are also advised.

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Written by Zhang Hui
Neurology
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What are the symptoms of cerebral atrophy?

Some patients with brain atrophy may not exhibit any specific clinical symptoms and are only found to have brain atrophy through imaging studies, such as magnetic resonance imaging (MRI) of the brain. Some patients do exhibit clinical symptoms, and the common symptoms of brain atrophy mainly include the following manifestations. First, patients may experience a decline in memory function, such as frequently forgetting things they have just done, forgetting where they placed their wallet, or forgetting to bring keys when going out. Second, there may also be a decline in executive functions, such as difficulties in dressing or brushing teeth by oneself. Third, there may be a decline in computational abilities, to the extent that the patient cannot perform simple arithmetic. Additionally, brain atrophy may also present some psychiatric symptoms, such as hallucinations and incoherent speech.

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Written by Zhang Hui
Neurology
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Can cerebral atrophy be cured?

Brain cells are irreversible, and once they die, they cannot regenerate. If brain atrophy occurs, it means that some brain cells have necrosed, and complete recovery is impossible. However, some patients with brain atrophy have no clinical symptoms because the brain's compensatory function is relatively strong. The usual causes of brain atrophy include the following. Firstly, Alzheimer's disease, which is the most common cause of dementia. Patients exhibit cortical brain atrophy, especially in areas such as the temporal lobes, frontal lobes, and hippocampus. Treatment is primarily symptomatic, and curing the disease is very difficult. Another cause is cerebrovascular disease. Long-term cerebral ischemia and arterial stenosis can also lead to brain atrophy. It is crucial to actively improve circulation and use anti-atherosclerosis medications for treatment. Additionally, some toxic encephalopathies, leukoencephalopathies, and drug toxicities can also cause brain atrophy. (Specific medications should be used under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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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.

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Written by Shi De Quan
Neurology
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Is brain atrophy the same as cerebral palsy?

Brain atrophy is definitely not cerebral palsy. Brain atrophy is generally caused by various reasons in adults leading to a reduction in brain volume. This is often seen in cognitive impairments or memory decline in adults. Cerebral palsy, on the other hand, is generally caused by congenital diseases or perinatal reasons, leading to damage to the central nervous system. It is a disease characterized primarily by non-progressive motor disorders. Therefore, it manifests as spastic diplegia, hemiplegia, athetosis, and symptoms of the extrapyramidal system, mainly focusing on motor disorders.

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Written by Zhang Hui
Neurology
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Symptoms of cerebral atrophy

Mild cerebral atrophy may not present any clinical symptoms, and many elderly people show some degree of cerebral atrophy during imaging examinations, which should not be overly worrying. If the cerebral atrophy is more pronounced, it mainly manifests as cognitive dysfunction, such as a decline in memory, reduced computational abilities, diminished executive functions, and possibly the inability to perform complex movements, such as being unable to brush one's teeth or dress oneself. In severe cases, individuals may experience personality changes, becoming irritable, easily angered, suspicious, and may even exhibit psychiatric symptoms, primarily hallucinations.