What is a brain embolism?

Written by Zhang Hui
Neurology
Updated on September 27, 2024
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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.

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Written by Zhang Hui
Neurology
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What is a brain embolism?

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.

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Written by Liu Yan Hao
Neurology
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symptoms of cerebral embolism

Cerebral embolism generally has a rapid onset and develops quickly, often occurring during physical activity. Within a short period of time, the condition can peak, and patients may experience sudden coma or complete paralysis of one side of the body, as well as aphasia, dementia, and cognitive dysfunction. Overall, the progression of the disease is very fast and can reach a peak in a short time. These patients often have underlying diseases, such as atrial fibrillation, which is a type of arrhythmia. In patients with atrial fibrillation, mural thrombi can form on the inner walls of the heart. These thrombi can detach and, carried by the bloodstream, block cerebral vessels, leading to cerebral embolism. Additionally, some patients have a foundation of arteriosclerosis, particularly in the carotid arteries, which can form plaques, especially soft plaques. When these plaques detach, they can form emboli that block cerebral vessels, causing cerebral embolism.

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Written by Zhang Hui
Neurology
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What fluid is infused for cerebral embolism?

Cerebral embolism is a type of ischemic cerebrovascular disease, occurring when an abnormal clot travels to the brain and blocks an artery, leading to corresponding clinical symptoms. Patients may experience speech impairments, motor dysfunctions, limb numbness, and even consciousness disturbances among other clinical manifestations. Some individuals with cerebral embolism may even develop epilepsy. The primary treatment for patients with cerebral embolism involves anticoagulation therapy. Additionally, intravenous medications are mainly used to reduce cerebral edema, activate blood circulation and remove stasis, protect brain cells, and eliminate free radicals. Medications to improve collateral circulation via intravenous routes are also applicable. Generally, the prognosis of cerebral embolism is not very good; it is prone to transition to cerebral hemorrhage and may leave sequelae such as epilepsy. (Please use medications under the guidance of a professional physician, and do not self-medicate.)

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Written by Zhang Hui
Neurology
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Can you exercise with a cerebral embolism?

Brain embolism is a form of cerebral infarction. The mechanism of its occurrence mainly involves abnormal objects entering the arteries, causing occlusion in the cerebral arteries and leading to brain embolism. Patients may experience paralysis, limb numbness, speech impairments, and in severe cases, even coma. The most common cause of brain embolism is due to atrial fibrillation or myocardial infarction causing mural thrombi. These dislodged thrombi travel to cerebral arteries, causing brain embolism. Generally, during the acute phase of brain embolism, bed rest is recommended along with some bedside functional exercises, such as active and passive movements of the limbs. Additionally, cardiac function must be considered since cardiac function is generally compromised in patients with brain embolism. If the treatment of brain embolism progresses well into the recovery or residual phase, and if cardiac function permits, moderate exercise such as brisk walking and slow jogging may be appropriate, but it is essential to protect the patient's cardiac function.

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Written by Zhang Hui
Neurology
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Can people with cerebral embolism run?

Patients with cerebral embolism are mostly caused by heart diseases, especially atrial fibrillation, which is the most common complication leading to cerebral embolism. If it is the acute phase of cerebral embolism, the patient's condition is unstable and symptoms may worsen, so running is definitely not suitable at this time. If the recovery from cerebral embolism is already very good, the patient's condition is stable, and there are no significant heart function issues, then the patient may engage in running exercises under the assessment of neurologists and cardiologists. Running can help to strengthen the physique, improve blood circulation, and also aid in the recovery from cerebral embolism, but it is important to ensure that the exercise intensity is not too high, to avoid putting too much strain on the heart.