What should be paid attention to in the diet for cerebral infarction?

Written by Gao Yi Shen
Neurosurgery
Updated on October 22, 2024
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There are many dietary considerations for patients with cerebral infarction:

The first point is to definitely eliminate some unhealthy eating habits, including smoking, drinking alcohol, consuming large amounts of meat, binge eating, sitting for long periods, and not exercising, among other things. Improving these bad habits can greatly help in reducing the recurrence of cerebral infarction.

The second point is to adopt a diet low in salt and fat and high in protein. It is essential to avoid greasy and pickled foods on a regular basis to also reduce the recurrence of cerebral infarction.

The third point is to eat more green leafy vegetables on a daily basis, especially those that are local and seasonal. If blood sugar levels are stable, increasing the consumption of fruits can also enhance the body's resistance and reduce the recurrence of cerebral infarction.

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Written by Gao Yi Shen
Neurosurgery
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Can the blood vessels in a cerebral infarction be unblocked?

Whether the blood vessels in a cerebral infarction can be reopened is closely related to time. If it is within the hyperacute phase, which means within six hours from the onset of clinical symptoms to hospital admission, the majority of cases can undergo thrombolysis intravenously, or arterial thrombectomy to reopen the blood vessels. However, if the time exceeds this window, reopening is no longer feasible, and forced reopening at this stage can easily lead to the detachment of distal thrombi or cause reperfusion injury, which is more detrimental to the patient's condition. Therefore, it is impossible to reopen the blood vessels during the chronic phase or non-hyperacute phase. If treatment of this vascular occlusion is desired, vascular anastomosis can be considered, though the specific type of anastomosis surgery depends on the patient's specific condition at the time. Thus, the possibility of reopening a blood vessel in a cerebral infarction certainly depends on timing.

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Written by Chen Yu Fei
Neurosurgery
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Brain infarction belongs to which department?

Brain infarction is usually classified as a neurology disease. Patients with brain infarction often exhibit clear symptoms of headache, dizziness, nausea, vomiting, and significant swallowing dysfunction, leading to coughing while drinking. Some patients may also experience facial nerve paralysis to some extent, manifesting as unclear speech, difficulty speaking, and articulation disorders. When the aforementioned clinical symptoms occur, the possibility of brain infarction is considered high. Performing a cranial MRI scan for patients can help determine the specific location, number, and severity of the infarction. Generally, it is recommended to treat patients with brain infarction during the acute phase with drugs that enhance brain function, nourish the nerves, and promote blood circulation to remove blood stasis, and many patients can achieve satisfactory treatment results. (Specific medications should be used under the guidance of a physician.)

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Written by Chen Yu Fei
Neurosurgery
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What tests are done for a cerebral infarction?

For patients with cerebral infarction, it is recommended to take the patient to a local hospital for timely treatment during the acute phase. A cranial CT scan or MRI should be performed to help assess the current situation. Cranial MRI plays an important auxiliary diagnostic role in identifying the specific location, extent, and severity of the cerebral infarction. It is advised to perform a cranial MRI during the acute phase for a clear diagnosis, and then decide the next step of the treatment plan based on the situation. Within the surgical window, thrombolytic therapy can be applied to achieve dissolution of the clot. If the optimal timing for thrombolysis has been missed, it is recommended that the patient be hospitalized to receive treatment, including intravenous drips, brain-nourishing drugs, nerve nutrition, and medications that invigorate blood circulation and remove blood stasis, to help improve the state of ischemia and hypoxia in the brain tissue.

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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
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.)