Is a brain infarction dangerous?

Written by Guo Zhi Fei
Neurosurgery
Updated on September 10, 2024
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The risk associated with a cerebral infarction primarily depends on the extent and location of the infarction. If the infarction is small and located in less critical areas of brain function such as the frontal or temporal lobes, the symptoms may not be severe and might only include dizziness and sleepiness. If the infarction is extensive and occurs in crucial areas such as the basal ganglia, thalamus, or brainstem, the symptoms can be very severe. This could potentially lead to hemiplegia, aphasia, and even coma or death.

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Written by Gao Yi Shen
Neurosurgery
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How to treat cerebral infarction?

The choice of treatment for cerebral infarction depends on the specific circumstances. Treatment plans for small and large cerebral infarctions are completely different, as are the treatment plans for acute and chronic stages of cerebral infarction. For small areas of acute cerebral infarction, many cases can be treated with intravenous thrombolysis and arterial thrombectomy, which are currently very effective treatments that can significantly help in emergency situations. In the chronic phase, it is necessary to actively improve cerebral circulation, brain protection, lower lipids, stabilize blood sugar, and blood pressure, among other methods, to delay the further progression of the disease. Some cases may also require identifying the cause and opting for surgical interventions, including stent implantation and endarterectomy surgeries.

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Written by Gao Yi Shen
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Is a cerebral infarction serious?

Stroke is a very serious disease; its essence lies in the ischemic necrosis of nerve cells. A characteristic of nerve cells is that once they undergo ischemic necrosis, they cannot regenerate. Along with cardiac muscle cells, they are the only cells in the human body that cannot regenerate once they have died. Therefore, for the part of the tissue where nerve cells have already died, such as in cases of cerebral thrombosis or stroke where the tissue has already been affected, it is impossible to completely restore it. If the affected area is relatively small, some compensation might be possible. However, if the affected area is relatively large, this will lead to a significant amount of ischemic necrosis in the neural tissue, which can cause total dysfunction of various tissue structures in the body, and in more severe cases, can lead to coma and eventually the death of the patient. Therefore, it is imperative to take this seriously in clinical practice.

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Written by Shi De Quan
Neurology
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Is a lacunar infarct a minor stroke?

Lacunar stroke is, in a sense, a milder form of stroke. It may not involve complete paralysis of limbs or consciousness disorders. Such cases typically show symptoms of sudden large vessel blockage. However, it results from blockages in many small vessels and manifests in various ways. Additionally, it gradually worsens, displaying an increasing range of symptoms including cognitive impairments, dementia, unstable gait, slurred speech, and dysarthria. These symptoms significantly affect the quality of life, so it can be considered not mild.

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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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Is it good to drink milk after a stroke?

Patients with cerebral infarction can drink milk, but it must be analyzed according to the specific condition at the time because patients with cerebral infarction often experience coma and accompanying dysphagia with coughing. In such cases, drinking milk is not a problem, but attention must be paid to changes in dietary habits. If necessary, a gastric tube must be inserted through the nose into the stomach for feeding to avoid direct oral intake, which can cause coughing, aspiration, and lead to pneumonia. Therefore, this point must be carefully considered. For ordinary people in daily life, a cup of milk a day is a very good choice because milk mainly contains protein and does not contain a lot of fat and sugar. For patients with cerebral infarction, this diet is very ideal. If fresh milk can be used in everyday life, it is more beneficial for promoting the patient's recovery.