Brain infarction refers to the condition.

Written by Chen Ya
Geriatrics
Updated on September 20, 2024
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A cerebral infarction, commonly abbreviated, is typically referred to in full as thrombotic cerebral infarction or cerebral thrombosis. The most common cause is the formation of a local thrombus or from distant sites, such as the heart or major blood vessels, causing ischemia, hypoxia, and other disturbances in the cerebral blood supply. This results in localized ischemic necrosis or softening of brain tissue, leading to corresponding neurological deficits and signs.

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Written by Chen Ya
Geriatrics
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How should a stroke and a cold be handled?

It is recommended to actively address a cold in cases of cerebral infarction, as most people with cerebral infarction who also have motor disabilities are predominantly bedridden, making them prone to aspiration pneumonia. If a cold is not managed well and develops into pneumonia, it can further aggravate the condition, potentially worsening the perceived motor disabilities if timely functional rehabilitation is not administered, leading to further progression of the illness.

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Written by Chen Ya
Geriatrics
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Can people who have had a cerebral infarction eat mutton?

Patients with cerebral infarction can appropriately consume mutton, but it depends on the specific condition of each individual. It is advised that those in the acute phase with internal phlegm-heat refrain from eating mutton. However, during the recovery or post-stroke phase, if the patient is weak, malnourished, and shows symptoms of yang deficiency, consuming mutton is appropriate as it is warm in nature and can nourish the kidney and yang, and warm and strengthen the body. Nevertheless, it is important to consume it in moderation to avoid excessive internal heat.

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Written by Chen Ya
Geriatrics
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Is a cerebral infarction a stroke?

Brain infarction is a type of stroke, and in traditional Chinese medicine (TCM), stroke is categorized as an illness, differentiated as external and internal wind. External wind, as discussed in "Treatise on Cold Pathogenic Diseases," occurs due to external evil invasions, also referred to as the Gui Zhi soup proof. Internal wind belongs to diseases caused by internal injuries, also termed brain stroke or sudden stroke. Commonly, stroke refers to the type caused by internal injuries involving disorders such as the chaos of qi and blood, obstruction of cerebral vessels, or blood overflow in the brain. It is a cerebral neurological disease identified mainly by sudden fainting, hemiplegia, numb limbs, difficult speech, facial distortion, and unilateral numbness. This condition is characterized by a sudden onset, rapid changes, and is akin to the pathogen of wind favoring rapid and multiple changes. The type of stroke discussed here is akin to a brain stroke. Brain infarction refers to the obstruction in a brain artery caused by various emboli such as intracardiac mural thrombi, atherosclerotic plaques, tumor cells, fibrocartilage, or air traveling with the bloodstream. When collateral circulation fails to compensate, it leads to ischemic necrosis of the brain tissue in the supplied area, causing focal neurological deficits. Cerebral hemorrhage, on the other hand, refers to bleeding within the brain tissue not caused by trauma but due to the rupture of intracerebral vessels. Both cerebral hemorrhage and brain infarction often result in varying degrees of motor deficits, cognitive impairments, and speech and swallowing difficulties, collectively referred to in stroke cases. Hence, brain infarction is considered a type of stroke.

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Written by Tang Bo
Neurology
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Cerebral infarction X-ray manifestations

Brain infarction generally does not involve X-rays because X-rays primarily target bone issues, not brain tissue issues. If a brain infarction occurs, a cranial CT or MRI can be performed. In acute cases of sudden onset, a cranial CT is primarily used to exclude cerebral hemorrhage, as brain infarction typically does not show up in the acute phase. However, in cases of extensive brain infarction, changes might also appear on a CT during the acute phase. Additionally, after the acute phase, about 1 day or 24 hours later, brain infarctions generally appear as low-density shadows on a CT. On an MRI, in diffusion imaging, brain infarctions generally appear as high-density, high-signal areas, while they appear as low-signal areas in T1 imaging and high-signal areas in T2 imaging. It is also suggested to perform cranial magnetic resonance angiography to examine the status of the blood vessels.

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Written by Tang Bo
Neurology
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Do lacunar infarcts fear getting angry?

Lacunar stroke is caused by the occlusion of some small blood vessels in our skull due to pathological changes in the vessel walls after long-term hypertension, diabetes, or other diseases. Therefore, it usually stems from underlying conditions. Although getting angry may trigger a lacunar stroke, it's important to manage emotions as well. However, for lacunar stroke itself, the primary underlying causes are still hypertension, diabetes, and other risk factors. Thus, regardless of the situation, it's essential to avoid sudden and intense emotional changes, as such changes could potentially trigger a lacunar stroke.