What are the symptoms of cerebral embolism?

Written by Liu Yan Hao
Neurology
Updated on September 03, 2024
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Brain embolism usually begins suddenly and develops rapidly, often reaching a peak in a very short time. This can cause patients to quickly become comatose or experience weakness in limbs on one side of the body, with some presenting with complete paralysis or speech impairments. These symptoms occur because a major blood vessel in the brain is blocked abruptly, leading to ischemia and tissue necrosis in the supplied area. Common sources of the emboli include plaques in the cervical arteries, where soft plaques can dislodge and form emboli that block cerebral vessels with the bloodstream. Alternatively, patients with atrial fibrillation may suffer from embolism when thrombi attached to the inner walls of the heart dislodge and block cerebral vessels through circulation. Brain embolism is generally a severe condition with a rapid onset.

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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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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.

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Written by Zhang Hui
Neurology
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Does cerebral embolism require surgery?

Most cases of cerebral embolism in patients are caused by heart diseases, especially in patients with atrial fibrillation. Thrombi form in the atrium, detach, and travel to the cerebral arteries, causing a cerebral embolism. If the area affected by the cerebral embolism is small and the symptoms are mild, surgical treatment may not be necessary. Patients should rest, engage in rehabilitation exercises, and be treated with medications that invigorate the blood, remove blood stasis, protect brain cells, and use anticoagulants. However, if the embolism affects a large area, such as the middle cerebral artery, interventional surgical thrombectomy can be performed according to current medical advancements, which may be effective for some patients but also carries risks of bleeding and potential surgical failure. (Please use medications under the guidance of a doctor and do not self-medicate.)

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Written by Zhang Hui
Neurology
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Symptoms and manifestations of cerebral embolism

The so-called cerebral embolism primarily refers to the presence of abnormal substances in the arteries, which block the smaller arteries leading to arterial occlusion, causing severe cerebral ischemia and hypoxia, and resulting in the necrosis of brain tissue. It generally occurs in patients with atrial fibrillation, where atrial fibrillation can form larger emboli that detach from the heart and can easily cause cerebral embolism. The symptoms of the onset are very sudden and rapidly reach their peak. Patients may experience coma and consciousness disorders, fixed staring of the eyes, paralysis of limbs, numbness of limbs, and an inability to sense pain and temperature in the limbs. Additionally, some may experience epileptic seizures and urinary and fecal incontinence. Cerebral embolism is a very dangerous disease, and once these symptoms appear, it is crucial to seek hospital treatment as soon as possible.

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Written by Tang Li Li
Neurology
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What department should one go to for a cerebral embolism?

Patients with cerebral embolism should visit the department of neurology. Cerebral embolism is not a special disease but rather one type of cerebral infarction. Cerebral infarction generally includes two types: cerebral thrombosis and cerebral embolism. The former refers to the formation of a thrombus at the site of the vessel occlusion. The latter involves a thrombus originating from another location, which blocks the vessel at the infarct site. The sources of such thrombi are varied, with the most common being from the heart, frequently seen in patients with long-term chronic atrial fibrillation. This condition forms a mural thrombus in the atrium, which, during episodes of atrial fibrillation, can detach, be flushed by the blood stream into the brain, and cause cerebral embolism. Secondly, it occurs in cardiac valve diseases, such as rheumatic heart disease, mitral valve alterations, and others. There are also some other sources of thrombi, such as tumor-induced cancer, amniotic fluid embolism in pregnant women, and fat embolism in patients with fractures.