What fluid is infused for cerebral embolism?

Written by Zhang Hui
Neurology
Updated on September 02, 2024
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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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What department should I go to for a cerebral embolism?

Brain embolism is a disease in the field of neurology, and one can consult a department of neurology for it. Patients with brain embolism often have a rapid onset, generally with a history of atrial fibrillation. Some thrombi attached to the heart dislodge into the cerebral arteries, causing brain embolism. Symptoms can rapidly develop, including limb paralysis and speech disorders. If the affected area in the brain is large, it may even lead to consciousness disorders and epileptic seizures. For the treatment of brain embolism, interventional thrombectomy can be performed, but there is a strict limitation on the timing window. It should be noted that patients with brain embolism have a high probability of transforming into cerebral hemorrhage, and caution must be exercised during treatment.

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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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Can cerebral embolism be treated with thrombolysis?

For patients with cerebral embolism, if the onset is not particularly severe and the area of the embolism is not very large, for example, if the patient's consciousness is still clear, then thrombolysis can still be feasible. It is now also relatively advocated because the risk of cerebral hemorrhage is relatively small in such cases. However, if the area of the cerebral embolism is large, especially if the patient has fallen into a coma or other consciousness disorders, and shows conjugate gaze palsy, then the risk of thrombolysis is very high, and there is a very likely risk of conversion to cerebral hemorrhage. In such cases, thrombolysis is not recommended, and arterial thrombectomy can be performed instead, which can greatly save the patient's life and improve the quality of life. Besides thrombolysis and thrombectomy, anticoagulant therapy should also be administered after the condition stabilizes, as most cases of cerebral embolism are caused by atrial fibrillation, and anticoagulant therapy can prevent future attacks.

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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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Can people with cerebral embolism eat pork?

Patients with cerebral embolism generally suffer from heart diseases. For example, myocardial infarction can cause mural thrombi or atrial fibrillation, leading to thrombi in the left atrial appendage. These thrombi may detach and enter the cerebral arteries, resulting in cerebral embolism. The onset is quite severe, with patients rapidly developing symptoms that quickly peak. Clinical manifestations may include speech impairment, limb paralysis, and numbness. In severe cases, due to extensive damage, patients may experience coma or even death. Patients with cerebral embolism can consume small amounts of pork, but it is advisable to eat mainly lean pork. Lean pork contains some protein and B vitamins, which are beneficial for brain recovery. It is not advisable to eat fatty parts, as they can increase blood lipids and lead to arteriosclerosis.