Which department should I go to for a cerebral embolism?

Written by Zhang Hui
Neurology
Updated on September 07, 2024
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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 Liu Yan Hao
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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.

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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 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.

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Written by Zhang Hui
Neurology
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Guidelines for Thrombolytic Therapy for Cerebral Embolism

Cerebral embolism is a particularly dangerous type of ischemic cerebrovascular disease. Patients present with a very abrupt onset, typically with a history of atrial fibrillation. Acute onset rapidly leads to limb paralysis, and may also cause disturbances in consciousness and seizures, among other clinical manifestations. Current guidelines for thrombolytic treatment of cerebral embolism do not address extensive cerebral embolism, as thrombolysis in extensive cerebral embolism carries a certain risk of bleeding and is not generally advocated in clinical practice. Mainly, arterial thrombectomy treatment can be administered within an eight-hour window, which can provide significant therapeutic effects for some patients. Additionally, if the cerebral embolism is considered small and the patient's consciousness is relatively intact, intravenous thrombolytic treatment can be given. The time window for intravenous thrombolysis is generally within four and a half hours, so it is crucial to get to a hospital as quickly as possible in the event of a suspected cerebral embolism.

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Written by Zhang Hui
Neurology
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Can people with cerebral embolism eat beef?

Patients with cerebral embolism can eat beef, as it contains rich high-quality proteins. These proteins can enhance the body's resistance and prevent complications such as lung and urinary tract infections following a cerebral embolism. Additionally, beef is rich in B vitamins such as vitamin B1 and B12, which also nourish the nerves. Cerebral embolism is an acute disease that often strikes suddenly, generally in patients with a history of atrial fibrillation, presenting with rapid onset and paralysis of limbs. Treatment involves timely administration of anticoagulants and statin drugs. Furthermore, after stabilization of the condition, active rehabilitation training is important. In terms of diet, in addition to beef, patients can also consume milk and eggs and should eat a variety of fresh vegetables and fruits. (Note: The answer is for reference only, please use medication under the guidance of a professional physician and do not self-medicate.)