How to look at brain atrophy films

Written by Liu Yan Hao
Neurology
Updated on September 16, 2024
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Brain atrophy images, in fact, are simple to read, whether it's brain MRI or head CT scans. You'll notice that the brain sulci have become widened, giving the brain a less full appearance, similar to a walnut, a flattened walnut, not very plump, with widened brain sulci and fissures. The brain volume appears smaller, which is typical of brain atrophy images. The treatment for brain atrophy can involve using medications that nourish brain cells and improve cerebral circulation. In terms of dietary therapy, it's beneficial to consume more walnuts and foods that enhance kidney function regularly. According to Traditional Chinese Medicine, the kidney governs the bones and generates marrow, and the brain is considered the sea of marrow; thus, these kidney-nourishing foods are believed to be effective in treating brain atrophy. Foods such as Chinese yam and goji berries can be added to soups or used to make porridge, offering benefits in treating brain atrophy.

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Written by Zhang Hui
Neurology
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Does brain atrophy cause dizziness?

If it is brain atrophy, generally it does not cause dizziness; patients with mild conditions may not show any clinical symptoms. If it is severe, the main symptoms are those of dementia, such as possible sluggish reactions, memory decline, reduced computational abilities, impaired executive functions, and even psychiatric symptoms. The most common disease clinically observed is Alzheimer's disease. If the patient has cerebellar atrophy, even mild cases might not exhibit any symptoms. Severe cases can experience dizziness, primarily manifesting as feeling drunk, accompanied by unsteady walking, unstable standing, and other signs of ataxia.

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Written by Zhang Hui
Neurology
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Does cerebellar atrophy cause dizziness?

Patients with cerebellar atrophy may experience dizziness. In clinical practice, multiple system atrophy that leads to cerebellar degeneration and spinal cerebellar ataxia often present with symptoms of dizziness. Generally, dizziness is very common when there is a lesion in the cerebellum. However, some patients may show significant cerebellar atrophy on imaging but actually do not exhibit symptoms of dizziness. Therefore, the condition can vary from person to person. There are many causes of cerebellar atrophy, including some cerebrovascular diseases that can lead to cerebellar atrophy, with symptoms such as dizziness and ataxia. The key to treating cerebellar atrophy is to properly identify and address the underlying cause.

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Written by Bian Jun Li
Neurology
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Cerebellar atrophy symptoms

The main functions of the cerebellum include maintaining bodily balance, controlling posture and gait, regulating muscle tone, and coordinating the accuracy of voluntary movements. Therefore, the primary symptoms of cerebellar atrophy involve ataxia, with patients displaying instability in standing, a staggering gait similar to that of a drunken walk; speech may manifest as cerebellar speech, or a chanting-like pattern; there can also be disorders in fine motor skills, where some precise movements cannot be accurately performed, and coarse movements may sometimes not be severely affected; additionally, there can be disturbances in eye movement, presenting as tremors of both eyes, and patients may experience symptoms of vertigo clinically.

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Written by Tang Bo
Neurology
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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.

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Written by Zhang Hui
Neurology
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How to treat mild cerebral atrophy?

First, it is essential to eliminate psychological fear. Many people with mild cerebral atrophy show no clinical symptoms, so there is no need to be overly anxious. Second, it is important to control underlying diseases, especially maintaining control of blood pressure, blood sugar, blood lipids, and homocysteine levels. Abnormalities in these indicators can lead to cerebral ischemia, which in turn may exacerbate cerebral atrophy. Third, make an effort to continually learn new knowledge and master new skills to increase the brain's knowledge reserves and prevent the worsening of cerebral atrophy and the decline in intelligence. In addition, regularly exercising to improve cerebral blood circulation also has therapeutic effects.