Which department should I go to for a cerebral embolism?

Written by Liu Yan Hao
Neurology
Updated on July 02, 2025
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Patients with cerebral embolism need to visit the department of neurology, as it is considered a critical condition in this field. The onset of the disease is sudden and progresses rapidly. Often, in a very short period of time, the condition escalates to a peak, causing the patient to fall into a coma or suffer from complete paralysis of one side of the body. The most common cause of cerebral embolism, and the most frequent source of emboli, is atrial fibrillation, where clots form on the inner walls of the heart; these clots can detach and, carried by the bloodstream, block cerebral vessels. Another common source of emboli is carotid artery plaques, especially soft plaques which are prone to detachment. Once detached, these plaques form emboli that can obstruct major brain vessels, leading to cerebral embolism. Following cerebral embolism, usually larger blood vessels are blocked, causing abrupt blockages in cerebral circulation, and leading to issues with brain blood supply. Generally, this results in extensive brain ischemia, cerebral edema, and brain tissue necrosis. The condition progresses rapidly and requires prompt medical attention and comprehensive hospital treatment.

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Written by Liu Yan Hao
Neurology
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Clinical symptoms of cerebral embolism

Patients with cerebral embolism typically exhibit a sudden onset and rapid progression of the condition, often occurring during physical activity and rapidly reaching its peak. Clinically, this can result in immediate and complete paralysis of one side of the body or total aphasia, and in some cases, it can also lead to a swift onset of coma. Additionally, these patients often experience accompanying conditions such as arrhythmias, carotid artery plaque formation, and arteriosclerosis. The common sources of emboli in cerebral embolism are thrombi attached to the heart wall or plaques formed in the carotid artery. Therefore, these patients often have a history of hyperlipidemia, arteriosclerosis, plaque formation in arteries, atrial fibrillation, or coronary artery disease.

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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 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 Liu Yan Hao
Neurology
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Which department should I go to for a cerebral embolism?

Patients with cerebral embolism need to visit the department of neurology, as it is considered a critical condition in this field. The onset of the disease is sudden and progresses rapidly. Often, in a very short period of time, the condition escalates to a peak, causing the patient to fall into a coma or suffer from complete paralysis of one side of the body. The most common cause of cerebral embolism, and the most frequent source of emboli, is atrial fibrillation, where clots form on the inner walls of the heart; these clots can detach and, carried by the bloodstream, block cerebral vessels. Another common source of emboli is carotid artery plaques, especially soft plaques which are prone to detachment. Once detached, these plaques form emboli that can obstruct major brain vessels, leading to cerebral embolism. Following cerebral embolism, usually larger blood vessels are blocked, causing abrupt blockages in cerebral circulation, and leading to issues with brain blood supply. Generally, this results in extensive brain ischemia, cerebral edema, and brain tissue necrosis. The condition progresses rapidly and requires prompt medical attention and comprehensive hospital treatment.

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Written by Zhang Hui
Neurology
1min 10sec home-news-image

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.