What should I do if a cerebral infarction causes vomiting?

Written by Gao Yi Shen
Neurosurgery
Updated on April 16, 2025
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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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Premonitory symptoms of cerebral infarction recurrence

The symptoms preceding the recurrence of a cerebral infarction mainly involve observing the symptoms presented during the initial incidence of the stroke. In many cases, the recurrent symptoms are very similar to those initially experienced. For example, if dizziness was a symptom during the previous episode, then dizziness could also be a precursor symptom in a recurrence, with similar nature and intensity of dizziness as before. Additionally, if previous symptoms included limb numbness, weakness, or speech impairment, similar signs might precede a recurrence. Clinically, it is imperative to address these issues before an actual recurrence occurs, such as actively pursuing antiplatelet aggregation therapy, lipid-lowering, and stabilizing plaques, and resorting to surgical treatment if necessary, to better reduce the chances of stroke recurrence.

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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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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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Methods of Cerebral Infarction

There are many methods for treating cerebral infarction, but it is essential to make judgments based on the situation, as each patient's condition is different and requires different treatment approaches. For patients with acute cerebral infarction, treatments such as emergency thrombolysis or thrombectomy can be undertaken. For chronic cerebral infarction, initially, medical treatment is applied, including managing blood pressure, lowering blood lipids, stabilizing blood sugar levels, quitting smoking and alcohol, etc. Subsequently, this includes the oral administration of antiplatelet aggregation medications, which can effectively reduce the recurrence of cerebral infarction. Finally, corresponding surgical treatments are considered, including endarterectomy, superficial temporal artery to middle cerebral artery anastomosis, and appropriate stent implantation surgeries, depending on the specific characteristics. (Specific medications should be administered under the guidance of a physician.)

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Written by Gao Yi Shen
Neurosurgery
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Causes of cerebral infarction

There are many causes of cerebral infarction, but the most common in clinical practice is the narrowing or occlusion of the carotid artery. Since the brain is supplied by four blood vessels, any issues with any of these vessels can potentially lead to a cerebral infarction. Conditions commonly known as the "three highs"—high blood pressure, high blood sugar, and high cholesterol—can easily lead to narrowing or even blockage of the blood vessels. Thus, these factors are fundamentally the cause. Additionally, smoking and drinking can also lead to vascular narrowing and cause cerebral infarction. In some special cases, autoimmune diseases can cause inflammation inside the vessels, leading to narrowing. Other causes include arterial tears due to trauma, which can lead to ischemia and infarction, or abnormal blood supply due to arrhythmias causing cerebral infarction.