What are the symptoms of cerebral atrophy?

Written by Zhang Hui
Neurology
Updated on September 13, 2024
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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 cerebellar atrophy be treated?

There are various causes of cerebellar atrophy, and whether it can be treated depends crucially on the cause. If the atrophy is caused by genetic heart disease, there are no effective treatment options. For example, cerebellar ataxia due to spinal ataxia or multiple system atrophy typically worsens progressively, manifesting in significant coordination loss, unstable walking, and other clinical symptoms, with a lack of effective treatment options. However, cerebellar atrophy caused by long-term alcohol consumption can be treated. It is most important to quit drinking and then administer high doses of B vitamins, which can significantly improve symptoms. If cerebellar atrophy is caused by cerebellar ischemia, actively improving cerebral blood supply and taking antiplatelet aggregation drugs can also be effective. (Note: This answer is for reference only. Please consult a professional physician for medication guidance and avoid self-medication.)

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Written by Li Jian Wu
Pulmonology
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Is cerebral atrophy easy to treat?

Brain atrophy, a condition commonly seen in middle-aged and elderly patients, leads to a decline in memory, resulting in symptoms such as forgetfulness, insomnia, and poor mental health. Mild brain atrophy can gradually improve through the use of drugs that nourish brain cells and regular functional exercise. It is advisable to regularly choose drugs that nourish brain cells, eat foods like walnuts, sunflower seeds, and avocados, and engage in intellectual exercises, such as playing chess or playing games that develop intelligence, all of which are effective in treating brain atrophy.

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Written by Zhang Hui
Neurology
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MRI manifestations of brain atrophy

Patients with cerebral atrophy display clear signs on cranial Magnetic Resonance Imaging (MRI). The manifestations on MRI primarily include notably widened cerebral sulci, obvious atrophy of the cerebral lobes, and enlarged ventricles, which are typical presentations of cerebral atrophy. Cerebral atrophy can be categorized into atrophy of the cerebrum, cerebellum, and brainstem, each showing different characteristics on MRI, which requires careful differentiation. There are many causes of cerebral atrophy, such as degenerative diseases like Alzheimer's disease, which leads to cerebral atrophy. Cerebral thrombosis and poor cerebral vascular conditions can also cause cerebral atrophy due to insufficient blood supply to the brain. Additionally, drug toxicity and chronic alcoholism can lead to cerebral atrophy, which also needs to be differentiated carefully.

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Written by Zhang Hui
Neurology
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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.

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Written by Zhang Hui
Neurology
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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.