What is a brain embolism?

Written by Zhang Hui
Neurology
Updated on September 27, 2024
00:00
00:00

Cerebral embolism refers to various abnormal emboli that enter the intracranial arteries with blood circulation, causing acute occlusion of the cerebral arteries and leading to ischemic hypoxic necrosis of the brain tissue in the supplied area. The onset is usually very sudden and dangerous, with patients rapidly developing limb paralysis, speech dysfunction, facial paralysis, and in some cases, coma, seizures, and other clinical manifestations. The most common source of embolism is the heart, such as atrial fibrillation or myocardial infarction forming mural thrombi that dislodge and enter the brain causing an embolism. Additionally, there are non-cardiac sources of embolism, such as the detachment of atherosclerotic plaques causing an embolism, as well as air embolisms and cancer cell embolisms. Cerebral embolism is an emergency and severe condition that requires prompt medical attention.

Other Voices

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 12sec home-news-image

How many days for brain embolism infusion?

Cerebral embolism is a particularly dangerous disease that is very concentrated. It primarily refers to the entry of abnormal substances into the arteries, leading to the occlusion of the cerebral arteries and causing corresponding clinical manifestations in patients. Symptoms may include disturbances in consciousness, coma, limb paralysis, numbness, slurred speech, and even possibly seizures. The most common cause of cerebral embolism is atrial fibrillation. Treatment generally requires hospitalization for intravenous infusion. If the condition is relatively stable, an infusion lasting about 10 to 14 days may suffice, followed by administration of anticoagulant drugs for treatment. If the area affected by the cerebral embolism is very large and the patient is in severe danger, infusion treatment may need to last about 3 to 4 weeks. The specific approach should be based on the patient's condition. Additionally, certain medications to reduce dehydration and intracranial pressure, as well as neuroprotective drugs, should be administered. (Please use medication under the guidance of a doctor.)

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 10sec home-news-image

Which department should I go to for a cerebral embolism?

For most hospitals, registration for cerebral embolism requires a visit to the Department of Neurology, which is the most specialized department for treating cerebral embolism. Cerebral embolism generally has corresponding causes, with the most common being heart diseases. For example, conditions such as old myocardial infarction or atrial fibrillation can easily form mural thrombi. These thrombi can detach, enter the cranial arteries through circulation, and cause cerebral embolism, leading to severe clinical consequences. The onset of the disease is very aggressive, quickly reaching a peak and resulting in limb paralysis or even consciousness disorders, requiring emergency treatment. If it is within the thrombolytic time window, intravenous thrombolytic therapy can be administered after assessment. However, one must be cautious of the risk of hemorrhagic transformation during thrombolysis for cerebral embolism. If within a certain timeframe, arterial thrombectomy can also be performed, and many in the Department of Neurology are capable of conducting such surgeries.

doctor image
home-news-image
Written by Zhang Hui
Neurology
59sec home-news-image

What to do about cerebral embolism?

The onset of cerebral embolism is very sudden, and most cases of cerebral embolism are caused by heart disease. For instance, atrial fibrillation or myocardial infarction can lead to cerebral embolism, which requires immediate medical attention. If it is within the time window for arterial thrombectomy, it is best to proceed with the arterial thrombectomy treatment, and this window typically ranges from six to eight hours. If the time window is missed, the patient should primarily be kept on bed rest and given medications to protect and nourish brain cells. If intracranial pressure is high, medications to reduce dehydration and lower cranial pressure should be administered. After the acute phase, anticoagulation treatment should also be provided to prevent future occurrences of cerebral embolism. Additionally, care should be taken to prevent complications such as pulmonary infections, urinary system infections, and bedsores.

doctor image
home-news-image
Written by Liu Yan Hao
Neurology
57sec home-news-image

Can people with cerebral embolism eat lamb?

Patients with cerebral embolism can appropriately eat some mutton, but not too much, as the main dietary approach is a low-salt diet. Additionally, foods high in fat should not be consumed excessively, because a common cause of cerebral embolism is the hardening of blood vessels in the neck, carotid artery plaques, especially when soft plaques break off and form emboli that block cerebral vessels through the bloodstream. Thus, consuming these high-fat foods excessively can exacerbate hyperlipidemia, worsen arterial sclerosis, and increase arterial plaque, potentially leading to the recurrence and aggravation of cerebral embolism. Therefore, patients with cerebral embolism can appropriately consume some mutton, as its fat content is not too high, but it should not be consumed in excess. Eating it in moderation is acceptable.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 11sec home-news-image

Causes of cerebral embolism

Any abnormal substance entering the cerebral arteries causing ischemia, hypoxia, and necrosis of brain tissue is called cerebral embolism. The causes of cerebral embolism mainly include the following types: The first type is cardiogenic cerebral embolism, which is caused by heart diseases. For example, the most common atrial fibrillation is the most common cause of cerebral embolism. Atrial fibrillation can lead to the formation of some mural thrombi. These thrombi form, detach, and enter the cerebral arteries causing embolism. Additionally, myocardial infarction is also an important cause, and patients with myocardial infarction can also form some abnormal thrombi in the heart. Second, other causes, such as air embolism. In patients with fractures, a large amount of fatty tissue enters the cerebral arteries, which can also cause cerebral arterial embolism. Moreover, some venous thrombi from the lower limbs can also form cerebral embolism. During childbirth, the entry of amniotic fluid into the brain can also cause cerebral embolism.