Is a grade II cerebral infarction serious?

Written by Gao Yi Shen
Neurosurgery
Updated on February 21, 2025
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A second-degree cerebral infarction is a very serious matter that must be given significant attention clinically. Once a cerebral infarction occurs, it indicates very poor vascular quality. If proactive treatment and prevention are not undertaken to prevent further progression, the symptoms of cerebral infarction can worsen and recur frequently. This can cause severe harm not only to the patient but also to their family and society. This is particularly true for patients with severe, long-term bedridden hemiplegia, which further increases the burden on families and society. Therefore, once a cerebral infarction occurs, regardless of the circumstances, it is crucial to complete the necessary examinations and take timely treatment measures to better manage the progression of the condition.

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Written by Gao Yi Shen
Neurosurgery
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Is a cerebral infarction serious?

Stroke is a very serious disease; its essence lies in the ischemic necrosis of nerve cells. A characteristic of nerve cells is that once they undergo ischemic necrosis, they cannot regenerate. Along with cardiac muscle cells, they are the only cells in the human body that cannot regenerate once they have died. Therefore, for the part of the tissue where nerve cells have already died, such as in cases of cerebral thrombosis or stroke where the tissue has already been affected, it is impossible to completely restore it. If the affected area is relatively small, some compensation might be possible. However, if the affected area is relatively large, this will lead to a significant amount of ischemic necrosis in the neural tissue, which can cause total dysfunction of various tissue structures in the body, and in more severe cases, can lead to coma and eventually the death of the patient. Therefore, it is imperative to take this seriously in clinical practice.

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Written by Gao Yi Shen
Neurosurgery
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What should be paid attention to in the diet for cerebral infarction?

There are many dietary considerations for patients with cerebral infarction: The first point is to definitely eliminate some unhealthy eating habits, including smoking, drinking alcohol, consuming large amounts of meat, binge eating, sitting for long periods, and not exercising, among other things. Improving these bad habits can greatly help in reducing the recurrence of cerebral infarction. The second point is to adopt a diet low in salt and fat and high in protein. It is essential to avoid greasy and pickled foods on a regular basis to also reduce the recurrence of cerebral infarction. The third point is to eat more green leafy vegetables on a daily basis, especially those that are local and seasonal. If blood sugar levels are stable, increasing the consumption of fruits can also enhance the body's resistance and reduce the recurrence of cerebral infarction.

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Written by Hao Li Bin
Neurosurgery
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How is a cerebral infarction treated?

The treatment principles for cerebral infarction include thrombolysis, anticoagulation, volume expansion, lowering blood pressure, and brain protection. The main goal is to improve the blood circulation in the ischemic area of the brain as soon as possible and promote the recovery of neurological functions. During the acute phase, patients should rest in bed as much as possible, enhance care for skin, oral cavity, respiratory tract, and excretion, and maintain electrolyte balance. If a patient still cannot eat 48 to 72 hours after onset, nasogastric feeding with liquid nutrition should be provided to ensure nutritional supply. The priority should be given to the patient's daily care, diet, and the management of other comorbidities. Since some patients with cerebral infarction cannot take care of themselves during the acute phase and may even have difficulty swallowing, without adequate nutrition, metabolic issues can arise quickly. In such cases, even the best medications can fail to achieve positive outcomes. Since cerebral thrombosis is the most common type of cerebral infarction characterized by high incidence, high mortality, high recurrence rate, and high disability rate, patients may experience mild hemiplegia or severe scenarios leading to loss of life. Therefore, lifelong medication is necessary to prevent recurrence, achieve secondary prevention, and ultimately reduce the recurrence of cerebral infarction.

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Written by Chen Yu Fei
Neurosurgery
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Brain infarction belongs to which department?

Brain infarction is usually classified as a neurology disease. Patients with brain infarction often exhibit clear symptoms of headache, dizziness, nausea, vomiting, and significant swallowing dysfunction, leading to coughing while drinking. Some patients may also experience facial nerve paralysis to some extent, manifesting as unclear speech, difficulty speaking, and articulation disorders. When the aforementioned clinical symptoms occur, the possibility of brain infarction is considered high. Performing a cranial MRI scan for patients can help determine the specific location, number, and severity of the infarction. Generally, it is recommended to treat patients with brain infarction during the acute phase with drugs that enhance brain function, nourish the nerves, and promote blood circulation to remove blood stasis, and many patients can achieve satisfactory treatment results. (Specific medications should be used under the guidance of a physician.)

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Written by Shu Zhi Qiang
Neurosurgery
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How to rehabilitate from a cerebral infarction?

Brain infarction is one of the most common cerebrovascular accidents, accounting for about 65% of all cerebrovascular diseases. The types of brain infarction include lacunar infarction, cerebral thrombosis, and cerebral embolism; sometimes it also includes cerebral venous sinus thrombosis. Any type of brain infarction, or cerebral infarction, can cause certain neurological dysfunctions. Therefore, once the patient's condition is stabilized, it is advisable to actively consider rehabilitation treatments. These rehabilitation treatments mainly include hyperbaric oxygen therapy, acupuncture rehabilitation, and physical rehabilitation therapy.