Is brain atrophy a serious condition?

Written by Shi De Quan
Neurology
Updated on April 30, 2025
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Brain atrophy changes are quite severe, as brain atrophy is a change observable via imaging. If imaging techniques such as CT scans or MRI already reveal these changes, the morphological alterations are significant. Thus, there is a notable impact on limb movement. Post brain atrophy changes manifest as vascular dementia, cognitive impairments, and limb activities, particularly evident weakness in both lower limbs, as well as loss of bladder and bowel control, personality changes, cognitive changes, and emotional disturbances. These symptoms are quite severe.

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Written by Tang Bo
Neurology
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What should I do about brain atrophy?

Brain atrophy includes both physiological and pathological types. Physiological brain atrophy generally occurs as age increases, similar to how wrinkles appear on the face. This type does not usually present symptoms and typically does not require treatment, as some degree of brain shrinkage may happen with age. Pathological brain atrophy, however, can occur in younger individuals and requires investigation to determine the underlying cause. Diagnostic tests should be conducted to clarify the cause of the atrophy and identify any specific diseases, which will guide the treatment plan. Additionally, some patients may experience atrophy due to past events like cerebral hemorrhage or stroke, which are caused by specific lesions. In such cases, treating the original disease is the approach taken, so the treatment plan for brain atrophy should be based on the specific circumstances.

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Written by Zhang Hui
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The difference between cerebral atrophy and cerebellar atrophy.

Whether it is cerebral atrophy or cerebellar atrophy, these are concepts in imaging. They are generally detected through cranial CT or MRI scans, resulting in such diagnoses in imaging reports. Generally, cerebral atrophy mainly refers to the atrophy of the cerebral cortex, which includes areas like the frontal lobe, temporal lobe, hippocampus, and parietal lobe. The cerebral cortex is closely related to cognitive functions, movement, sensation, and emotions of the limbs. Patients with cerebral atrophy typically show a decline in intelligence, slow reactions, and dysfunction of bladder and bowel control, etc. The cerebellum mainly coordinates the body's integrative movements and ensures the fluent execution of limb movements. Therefore, cerebellar atrophy primarily leads to symptoms of ataxia, like finger tremors and unsteady walking.

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Written by Zhang Hui
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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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Written by Liu Hong Mei
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Which areas are treated with moxibustion for brain atrophy?

Brain atrophy can be treated with moxibustion at acupuncture points on the head and face, such as the Renzhong, Yintang, Baihui, Fengchi, and Tianzhu points. These points help in revitalizing the brain and supplementing the brain and spinal cord. Brain atrophy is a chronic cerebral vascular disease and falls under the categories of dementia and amnesia in Chinese medicine. Acupuncture can be helpful in the early stages of brain atrophy. Treatments can also be combined with moxibustion, physiotherapy, symptomatic treatment, massage, etc. Acupuncture points on the limbs, such as Neiguan, Shenmen, Hegu on the upper limbs, and Sanyinjiao, Zusanli on the lower limbs can be used to nourish the liver and kidneys, and calm the mind.

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How to treat mild cerebral atrophy?

First, it is essential to eliminate psychological fear. Many people with mild cerebral atrophy show no clinical symptoms, so there is no need to be overly anxious. Second, it is important to control underlying diseases, especially maintaining control of blood pressure, blood sugar, blood lipids, and homocysteine levels. Abnormalities in these indicators can lead to cerebral ischemia, which in turn may exacerbate cerebral atrophy. Third, make an effort to continually learn new knowledge and master new skills to increase the brain's knowledge reserves and prevent the worsening of cerebral atrophy and the decline in intelligence. In addition, regularly exercising to improve cerebral blood circulation also has therapeutic effects.