Causes of cerebral embolism

Written by Zhang Hui
Neurology
Updated on September 28, 2024
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Any abnormal substance entering the cerebral arteries causing ischemia, hypoxia, and necrosis of brain tissue is called cerebral embolism. The causes of cerebral embolism mainly include the following types: The first type is cardiogenic cerebral embolism, which is caused by heart diseases. For example, the most common atrial fibrillation is the most common cause of cerebral embolism. Atrial fibrillation can lead to the formation of some mural thrombi. These thrombi form, detach, and enter the cerebral arteries causing embolism. Additionally, myocardial infarction is also an important cause, and patients with myocardial infarction can also form some abnormal thrombi in the heart. Second, other causes, such as air embolism. In patients with fractures, a large amount of fatty tissue enters the cerebral arteries, which can also cause cerebral arterial embolism. Moreover, some venous thrombi from the lower limbs can also form cerebral embolism. During childbirth, the entry of amniotic fluid into the brain can also cause cerebral embolism.

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Written by Tang Li Li
Neurology
1min 17sec home-news-image

What department should one go to for a cerebral embolism?

Patients with cerebral embolism should visit the department of neurology. Cerebral embolism is not a special disease but rather one type of cerebral infarction. Cerebral infarction generally includes two types: cerebral thrombosis and cerebral embolism. The former refers to the formation of a thrombus at the site of the vessel occlusion. The latter involves a thrombus originating from another location, which blocks the vessel at the infarct site. The sources of such thrombi are varied, with the most common being from the heart, frequently seen in patients with long-term chronic atrial fibrillation. This condition forms a mural thrombus in the atrium, which, during episodes of atrial fibrillation, can detach, be flushed by the blood stream into the brain, and cause cerebral embolism. Secondly, it occurs in cardiac valve diseases, such as rheumatic heart disease, mitral valve alterations, and others. There are also some other sources of thrombi, such as tumor-induced cancer, amniotic fluid embolism in pregnant women, and fat embolism in patients with fractures.

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Written by Zhang Hui
Neurology
1min 11sec home-news-image

Causes of cerebral embolism

Any abnormal substance entering the cerebral arteries causing ischemia, hypoxia, and necrosis of brain tissue is called cerebral embolism. The causes of cerebral embolism mainly include the following types: The first type is cardiogenic cerebral embolism, which is caused by heart diseases. For example, the most common atrial fibrillation is the most common cause of cerebral embolism. Atrial fibrillation can lead to the formation of some mural thrombi. These thrombi form, detach, and enter the cerebral arteries causing embolism. Additionally, myocardial infarction is also an important cause, and patients with myocardial infarction can also form some abnormal thrombi in the heart. Second, other causes, such as air embolism. In patients with fractures, a large amount of fatty tissue enters the cerebral arteries, which can also cause cerebral arterial embolism. Moreover, some venous thrombi from the lower limbs can also form cerebral embolism. During childbirth, the entry of amniotic fluid into the brain can also cause cerebral embolism.

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Written by Tang Bo
Neurology
1min 2sec home-news-image

What should not be eaten in case of cerebral embolism?

Cerebral embolism is a type of cerebral infarction. It is a condition caused by the dislodgment of emboli, leading to the interruption of blood flow in the brain and resulting in the necrosis of brain tissue and cerebral infarction. There are no special dietary requirements for this condition, but it is generally advisable to follow a low-salt, low-fat diet, as high levels of salt or fats can be risk factors for cerebral infarction. Additionally, cerebral embolism can also be caused by atrial fibrillation. Patients with atrial fibrillation must monitor their coagulation function carefully and pay attention to cardiac issues. Regarding the diet, it should be low in salt and fat, and if the patient does not have diabetes, there is no need to pay special attention to blood sugar levels. However, if diabetes is present, diabetic dietary guidelines must be followed.

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Written by Zhang Hui
Neurology
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What fluid is infused for cerebral embolism?

Cerebral embolism is a type of ischemic cerebrovascular disease, occurring when an abnormal clot travels to the brain and blocks an artery, leading to corresponding clinical symptoms. Patients may experience speech impairments, motor dysfunctions, limb numbness, and even consciousness disturbances among other clinical manifestations. Some individuals with cerebral embolism may even develop epilepsy. The primary treatment for patients with cerebral embolism involves anticoagulation therapy. Additionally, intravenous medications are mainly used to reduce cerebral edema, activate blood circulation and remove stasis, protect brain cells, and eliminate free radicals. Medications to improve collateral circulation via intravenous routes are also applicable. Generally, the prognosis of cerebral embolism is not very good; it is prone to transition to cerebral hemorrhage and may leave sequelae such as epilepsy. (Please use medications 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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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.