What fluid is infused for cerebral embolism?

Written by Zhang Hui
Neurology
Updated on September 02, 2024
00:00
00:00

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.)

Other Voices

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
56sec home-news-image

What are the symptoms of cerebral embolism?

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.

doctor image
home-news-image
Written by Liu Yan Hao
Neurology
1min 1sec home-news-image

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.

doctor image
home-news-image
Written by Tang Bo
Neurology
1min 2sec home-news-image

What should not be eaten in case of cerebral embolism?

Cerebral embolism is a type of cerebral infarction. It is a condition caused by the dislodgment of emboli, leading to the interruption of blood flow in the brain and resulting in the necrosis of brain tissue and cerebral infarction. There are no special dietary requirements for this condition, but it is generally advisable to follow a low-salt, low-fat diet, as high levels of salt or fats can be risk factors for cerebral infarction. Additionally, cerebral embolism can also be caused by atrial fibrillation. Patients with atrial fibrillation must monitor their coagulation function carefully and pay attention to cardiac issues. Regarding the diet, it should be low in salt and fat, and if the patient does not have diabetes, there is no need to pay special attention to blood sugar levels. However, if diabetes is present, diabetic dietary guidelines must be followed.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 3sec home-news-image

Is cerebral embolism the same as cerebral infarction?

Brain embolism is a form of cerebral infarction, so essentially, it is also a type of cerebral infarction. Cerebral infarction encompasses a wider range, including cerebral thrombosis, lacunar infarction, watershed infarction, and others. Brain embolism primarily refers to abnormal substances entering the bloodstream, which then enter the arteries of the brain, causing obstruction in these arteries and leading to ischemia and hypoxia of the brain tissue, thus presenting clinical symptoms of cerebral infarction. The onset of the condition in patients is quite severe, rapidly leading to paralysis of limbs and disorders of speech function. In cases of extensive brain embolism, patients may even experience coma and death as serious complications. Most patients with brain embolism have a history of atrial fibrillation. Atrial fibrillation can lead to the formation of mural thrombi, and when these thrombi dislodge, they can cause brain embolism.