Which department should I go to for a cerebral embolism?

Written by Zhang Hui
Neurology
Updated on September 22, 2024
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The patient has experienced a cerebral embolism, and it is definitely recommended to seek appropriate medical care in neurology. Neurologists have seen many patients with cerebral embolism and have rich experience in the pathogenesis, diagnosis, and treatment of this disease. The onset of cerebral embolism is quite severe, and patients generally may have a history of cardiac diseases, such as atrial fibrillation. It is crucial to go to the hospital as soon as possible if a cerebral embolism occurs. If within the time window for thrombectomy, such as within eight hours, relevant thrombectomy treatment can be performed. Additionally, some hospitals carry out thrombectomy treatments in neurosurgery or interventional departments. Therefore, if a cerebral embolism requires surgical treatment, one can also visit the interventional department or neurosurgery. After the condition of a cerebral embolism patient stabilizes, routine anticoagulation therapy is necessary to prevent a recurrence of the cerebral embolism.

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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 Liu Yan Hao
Neurology
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What are the symptoms of cerebral embolism?

Brain embolism usually begins suddenly and develops rapidly, often reaching a peak in a very short time. This can cause patients to quickly become comatose or experience weakness in limbs on one side of the body, with some presenting with complete paralysis or speech impairments. These symptoms occur because a major blood vessel in the brain is blocked abruptly, leading to ischemia and tissue necrosis in the supplied area. Common sources of the emboli include plaques in the cervical arteries, where soft plaques can dislodge and form emboli that block cerebral vessels with the bloodstream. Alternatively, patients with atrial fibrillation may suffer from embolism when thrombi attached to the inner walls of the heart dislodge and block cerebral vessels through circulation. Brain embolism is generally a severe condition with a rapid onset.

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

Patients with cerebral embolism generally suffer from heart diseases. For example, myocardial infarction can cause mural thrombi or atrial fibrillation, leading to thrombi in the left atrial appendage. These thrombi may detach and enter the cerebral arteries, resulting in cerebral embolism. The onset is quite severe, with patients rapidly developing symptoms that quickly peak. Clinical manifestations may include speech impairment, limb paralysis, and numbness. In severe cases, due to extensive damage, patients may experience coma or even death. Patients with cerebral embolism can consume small amounts of pork, but it is advisable to eat mainly lean pork. Lean pork contains some protein and B vitamins, which are beneficial for brain recovery. It is not advisable to eat fatty parts, as they can increase blood lipids and lead to arteriosclerosis.

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

Patients with cerebral embolism can eat lamb, but should do so in moderation and not excessively. This is because a common cause of cerebral embolism is the formation of atherosclerotic plaques in the neck arteries, particularly soft plaques. When these soft plaques detach, they form an embolus that, carried by the bloodstream, can block cerebral vessels and cause a cerebral embolism. Thus, many of these patients often have hyperlipidemia, with a basis of arteriosclerosis and arterial plaques. Therefore, their diet should be low in salt and low in fat, and overall light. Foods that are overly greasy or high in fat should be avoided as much as possible, such as animal organs and fatty meats which are high in fat. Lamb can be eaten in proper amounts. Other dietary considerations include avoiding overly salty foods, as excessive salt intake can lead to increased blood pressure, further aggravating arteriosclerosis and arterial plaques, and leading to the onset of cerebral embolism.

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

Patients with cerebral embolism can jog moderately, but walking is highly recommended. This is because the common source of the embolus in cerebral embolism patients is a mural thrombus in the heart. The common causes of mural thrombus formation include arrhythmia and atrial fibrillation. Therefore, patients with cerebral embolism, who may also have coronary artery disease, atrial fibrillation, or cardiac mural thrombus, are not well-suited for running, which is a relatively intense form of exercise. They can jog moderately, but the distance and duration should not be too long. The most recommended form of exercise is walking. Walking is the best form of exercise to prevent worsening the condition after running, and it could also exacerbate coronary artery disease conditions.