Symptoms of cerebral atrophy

Written by Zhang Hui
Neurology
Updated on December 08, 2024
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Mild cerebral atrophy may not present any clinical symptoms, and many elderly people show some degree of cerebral atrophy during imaging examinations, which should not be overly worrying. If the cerebral atrophy is more pronounced, it mainly manifests as cognitive dysfunction, such as a decline in memory, reduced computational abilities, diminished executive functions, and possibly the inability to perform complex movements, such as being unable to brush one's teeth or dress oneself. In severe cases, individuals may experience personality changes, becoming irritable, easily angered, suspicious, and may even exhibit psychiatric symptoms, primarily hallucinations.

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Cerebellar atrophy symptoms

The main functions of the cerebellum include maintaining bodily balance, controlling posture and gait, regulating muscle tone, and coordinating the accuracy of voluntary movements. Therefore, the primary symptoms of cerebellar atrophy involve ataxia, with patients displaying instability in standing, a staggering gait similar to that of a drunken walk; speech may manifest as cerebellar speech, or a chanting-like pattern; there can also be disorders in fine motor skills, where some precise movements cannot be accurately performed, and coarse movements may sometimes not be severely affected; additionally, there can be disturbances in eye movement, presenting as tremors of both eyes, and patients may experience symptoms of vertigo clinically.

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Written by Zhang Hui
Neurology
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Do elderly people with brain atrophy experience dizziness?

If a patient exhibits atrophy of the cerebral cortex, elderly individuals generally do not show clinical symptoms of dizziness. The main manifestations are cognitive impairments, such as a decline in memory, computational ability, and judgment, as well as decreased executive functions. Some severe cases may even show personality changes and exhibit mental symptoms. If the patient has significant cerebellar atrophy, it is possible for them to experience dizziness, such as in cases of multiple system atrophy causing cerebellar atrophy, where the elderly may notably suffer from dizziness, which is related to changes in body position, particularly making them prone to dizziness when standing.

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Is cerebral atrophy easy to treat?

Brain atrophy, a condition commonly seen in middle-aged and elderly patients, leads to a decline in memory, resulting in symptoms such as forgetfulness, insomnia, and poor mental health. Mild brain atrophy can gradually improve through the use of drugs that nourish brain cells and regular functional exercise. It is advisable to regularly choose drugs that nourish brain cells, eat foods like walnuts, sunflower seeds, and avocados, and engage in intellectual exercises, such as playing chess or playing games that develop intelligence, all of which are effective in treating brain atrophy.

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Neurology
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MRI manifestations of brain atrophy

Patients with cerebral atrophy display clear signs on cranial Magnetic Resonance Imaging (MRI). The manifestations on MRI primarily include notably widened cerebral sulci, obvious atrophy of the cerebral lobes, and enlarged ventricles, which are typical presentations of cerebral atrophy. Cerebral atrophy can be categorized into atrophy of the cerebrum, cerebellum, and brainstem, each showing different characteristics on MRI, which requires careful differentiation. There are many causes of cerebral atrophy, such as degenerative diseases like Alzheimer's disease, which leads to cerebral atrophy. Cerebral thrombosis and poor cerebral vascular conditions can also cause cerebral atrophy due to insufficient blood supply to the brain. Additionally, drug toxicity and chronic alcoholism can lead to cerebral atrophy, which also needs to be differentiated carefully.

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Written by Zhang Hui
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Is cerebellar atrophy hereditary?

Whether cerebellar atrophy is hereditary depends on the cause of the atrophy. In neurology, there is a disease called spinocerebellar ataxia, which is caused by genetic mutations and results in significant ataxic symptoms. The imaging studies show cerebellar atrophy. This disease can be inherited, so it is important to conduct prenatal counseling to promote eugenics. Cerebellar atrophy caused by other reasons is not hereditary. For example, if the atrophy is due to neurodegenerative disease such as multiple system atrophy, there is no clear genetic tendency. If the atrophy is caused by a cerebellar infarction, it is also not hereditary.