What department should I go to for a cerebral infarction?

Written by Chen Yu Fei
Neurosurgery
Updated on September 25, 2024
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When a patient suffers a stroke, it is advised to promptly visit a local hospital and consult a neurologist to assess the condition. Often, when an acute stroke occurs, treatment can be administered through thrombolysis. If the window for thrombolytic therapy is missed, conservative pharmacological treatment is recommended. Clinically, it is generally recommended to treat patients with medications that enhance brain function, promote blood circulation to remove blood stasis, and nourish the nerves. Patients’ vital signs should be closely monitored, and dynamic reassessment through head CT or MRI should be conducted to observe changes in the patient's condition. In cases of extensive stroke, it may be necessary to transfer the patient to neurosurgery for decompressive craniectomy surgery.

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Written by Gao Yi Shen
Neurosurgery
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What should I do if a cerebral infarction causes vomiting?

Patients with cerebral infarction who experience vomiting must undergo timely relevant examinations. Cerebral infarction typically presents with symptoms such as dizziness, headache, and nausea. The presence of vomiting often accompanies the development of intracranial hypertension. At this time, it is crucial to administer an appropriate mannitol diuresis therapy to reduce intracranial pressure. Prompt use of metoclopramide injection or granisetron injection is also highly necessary, as these can effectively alleviate the symptoms of vomiting. However, it is essential to complete the appropriate examinations to clarify the changes in the intracranial condition. Vomiting caused by cerebellar infarction is relatively normal, but if nausea and vomiting occur elsewhere, it is crucial to determine the specific cause, and sometimes surgical treatment may be necessary. (Please use medications under the guidance of a professional physician; do not self-medicate.)

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Written by Gao Yi Shen
Neurosurgery
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Can someone who has had a cerebral infarction eat eggs?

Patients with cerebral infarction can eat eggs. In clinical practice, many people believe that eggs, especially egg yolks, contain very high cholesterol, which can easily lead to hyperlipidemia. However, this does not specifically cause hyperlipidemia. Eating one egg a day generally does not have a severe impact on the human body. After all, the human body is constantly active and consumes nutrients. Eating an egg will not particularly affect the body but will supplement many proteins and other essential substances. Therefore, it is best to eat eggs. However, if there are other symptoms present, such as difficulty swallowing, coughing while eating, or a comatose state, then eggs should not be consumed. It is crucial to make judgments based on the situation.

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Written by Gao Yi Shen
Neurosurgery
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Is a grade II cerebral infarction serious?

A second-degree cerebral infarction is a very serious matter that must be given significant attention clinically. Once a cerebral infarction occurs, it indicates very poor vascular quality. If proactive treatment and prevention are not undertaken to prevent further progression, the symptoms of cerebral infarction can worsen and recur frequently. This can cause severe harm not only to the patient but also to their family and society. This is particularly true for patients with severe, long-term bedridden hemiplegia, which further increases the burden on families and society. Therefore, once a cerebral infarction occurs, regardless of the circumstances, it is crucial to complete the necessary examinations and take timely treatment measures to better manage the progression of the condition.

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Written by Gao Yi Shen
Neurosurgery
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Can a cerebral infarction be treated?

Stroke is treatable, but it must also be judged based on the situation. The meaning of "treatable" here is that various treatment plans can be used to reduce the further occurrence of cerebral infarction and the situation of recurrence. However, the nerve cells that have already suffered ischemic necrosis cannot be restored to exactly the same condition as before. This means that the best scenario is recovery to the point of being able to take care of oneself, but it is absolutely impossible to return to the state of freedom before the illness, such as running and jumping. Currently, there are many treatment methods, including medication and surgical treatment. Each of these is a mode of treatment, and each case's differences determine different treatment plans. Decisions must be made according to the situation.

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Written by Shu Zhi Qiang
Neurosurgery
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post-stroke sequelae

Brain infarction is a very common type of ischemic cerebrovascular disease, which mainly includes the following types: the most common are lacunar infarction, cerebral thrombosis, and cerebral embolism. The neurological sequelae of lacunar infarction are not particularly typical, and patients may exhibit mild incomplete paralysis of limbs, decreased muscle strength, reduced sensation, or ataxia. Cerebral thrombosis and cerebral embolism often cause extensive brain infarction, where patients typically experience severe limb paralysis, loss of sensation, increased tendon reflexes, positive pathological reflexes, and an inability to care for themselves.