Can you exercise with a cerebral embolism?

Written by Zhang Hui
Neurology
Updated on September 20, 2024
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Brain embolism is a form of cerebral infarction. The mechanism of its occurrence mainly involves abnormal objects entering the arteries, causing occlusion in the cerebral arteries and leading to brain embolism. Patients may experience paralysis, limb numbness, speech impairments, and in severe cases, even coma. The most common cause of brain embolism is due to atrial fibrillation or myocardial infarction causing mural thrombi. These dislodged thrombi travel to cerebral arteries, causing brain embolism. Generally, during the acute phase of brain embolism, bed rest is recommended along with some bedside functional exercises, such as active and passive movements of the limbs. Additionally, cardiac function must be considered since cardiac function is generally compromised in patients with brain embolism. If the treatment of brain embolism progresses well into the recovery or residual phase, and if cardiac function permits, moderate exercise such as brisk walking and slow jogging may be appropriate, but it is essential to protect the patient's cardiac function.

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Written by Zhang Hui
Neurology
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Can cerebral embolism be treated with thrombolysis?

Cerebral embolism is a relatively common ischemic cerebrovascular disease. If the area of cerebral embolism is very large and it exceeds the time window for thrombolysis, and if the patient is elderly with multiple underlying diseases, then thrombolysis is not recommended. Patients with large-area cerebral embolism have a higher probability of transitioning to cerebral hemorrhage, thus the risk of thrombolysis is very high. However, if it is within the time window for arterial thrombectomy, it is advocated to undergo arterial thrombectomy treatment. Family members can communicate more with the doctor to choose the appropriate treatment plan. If the symptoms of cerebral embolism are relatively mild, the affected area is considered small, and it is within three hours, then intravenous thrombolysis treatment could be considered. Patients undergoing intravenous thrombolysis must ensure that a cranial CT is rechecked within 24 hours to exclude any secondary bleeding.

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Written by Zhang Hui
Neurology
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What is a brain embolism?

Cerebral embolism refers to various abnormal emboli that enter the intracranial arteries with blood circulation, causing acute occlusion of the cerebral arteries and leading to ischemic hypoxic necrosis of the brain tissue in the supplied area. The onset is usually very sudden and dangerous, with patients rapidly developing limb paralysis, speech dysfunction, facial paralysis, and in some cases, coma, seizures, and other clinical manifestations. The most common source of embolism is the heart, such as atrial fibrillation or myocardial infarction forming mural thrombi that dislodge and enter the brain causing an embolism. Additionally, there are non-cardiac sources of embolism, such as the detachment of atherosclerotic plaques causing an embolism, as well as air embolisms and cancer cell embolisms. Cerebral embolism is an emergency and severe condition that requires prompt medical attention.

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Written by Liu Yan Hao
Neurology
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Can people with cerebral embolism eat lamb?

Patients with cerebral embolism can appropriately eat some mutton, but not too much, as the main dietary approach is a low-salt diet. Additionally, foods high in fat should not be consumed excessively, because a common cause of cerebral embolism is the hardening of blood vessels in the neck, carotid artery plaques, especially when soft plaques break off and form emboli that block cerebral vessels through the bloodstream. Thus, consuming these high-fat foods excessively can exacerbate hyperlipidemia, worsen arterial sclerosis, and increase arterial plaque, potentially leading to the recurrence and aggravation of cerebral embolism. Therefore, patients with cerebral embolism can appropriately consume some mutton, as its fat content is not too high, but it should not be consumed in excess. Eating it in moderation is acceptable.

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Written by Zhang Hui
Neurology
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Can people with cerebral embolism eat beef?

Patients with cerebral embolism can eat beef, as it contains rich high-quality proteins. These proteins can enhance the body's resistance and prevent complications such as lung and urinary tract infections following a cerebral embolism. Additionally, beef is rich in B vitamins such as vitamin B1 and B12, which also nourish the nerves. Cerebral embolism is an acute disease that often strikes suddenly, generally in patients with a history of atrial fibrillation, presenting with rapid onset and paralysis of limbs. Treatment involves timely administration of anticoagulants and statin drugs. Furthermore, after stabilization of the condition, active rehabilitation training is important. In terms of diet, in addition to beef, patients can also consume milk and eggs and should eat a variety of fresh vegetables and fruits. (Note: The answer is for reference only, please use medication under the guidance of a professional physician and do not self-medicate.)

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Written by Zhang Hui
Neurology
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Guidelines for Thrombolytic Therapy for Cerebral Embolism

Cerebral embolism is a particularly dangerous type of ischemic cerebrovascular disease. Patients present with a very abrupt onset, typically with a history of atrial fibrillation. Acute onset rapidly leads to limb paralysis, and may also cause disturbances in consciousness and seizures, among other clinical manifestations. Current guidelines for thrombolytic treatment of cerebral embolism do not address extensive cerebral embolism, as thrombolysis in extensive cerebral embolism carries a certain risk of bleeding and is not generally advocated in clinical practice. Mainly, arterial thrombectomy treatment can be administered within an eight-hour window, which can provide significant therapeutic effects for some patients. Additionally, if the cerebral embolism is considered small and the patient's consciousness is relatively intact, intravenous thrombolytic treatment can be given. The time window for intravenous thrombolysis is generally within four and a half hours, so it is crucial to get to a hospital as quickly as possible in the event of a suspected cerebral embolism.