What should be noted for cerebral infarction?

Written by Chen Ya
Geriatrics
Updated on September 11, 2024
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People with old myocardial infarctions need to pay attention to their diet. A low-salt, low-fat diet is recommended. Additionally, individuals like Student Shi who have difficulty swallowing must be careful not to choke, as this can lead to aspiration pneumonia. If they really cannot eat, they may need to have a gastric tube inserted for feeding. Emotionally, it is crucial to control emotional fluctuations as they can cause blood pressure spikes, potentially leading to further progression of a cerebral infarction. Regarding medications, they must be taken on time and regularly to prevent risk factors including hyperlipidemia and hypertension. Blood pressure should also be controlled within the normal range. Furthermore, functional exercise is essential, particularly for those suffering from sequelae post-infarction, to prevent local muscle atrophy and stiffness.

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Written by Tang Bo
Neurology
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Do lacunar infarcts fear getting angry?

Lacunar stroke is caused by the occlusion of some small blood vessels in our skull due to pathological changes in the vessel walls after long-term hypertension, diabetes, or other diseases. Therefore, it usually stems from underlying conditions. Although getting angry may trigger a lacunar stroke, it's important to manage emotions as well. However, for lacunar stroke itself, the primary underlying causes are still hypertension, diabetes, and other risk factors. Thus, regardless of the situation, it's essential to avoid sudden and intense emotional changes, as such changes could potentially trigger a lacunar stroke.

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Written by Liu Yan Hao
Neurology
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Symptoms of cerebral infarction

Patients with cerebral infarction may exhibit paralysis of one side of the body and aphasia. If the patient has a brainstem infarction, symptoms may include unclear speech, difficulty swallowing, and coughing while eating. In cases of cerebellar infarction, there may not be symptoms of hemiplegia; the main symptom is usually dizziness. Additionally, large-scale cerebral infarctions can lead to disturbances in consciousness, manifesting as coma. Typically, cerebral infarctions do not affect consciousness unless they are extensive, which may also lead to coma. Moreover, patients with cerebral infarction often experience symptoms while resting quietly, commonly waking up in the morning to find themselves unable to speak or with paralysis on one side of the body, although their consciousness remains clear. These are typical manifestations of cerebral infarction.

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Written by Liu Yan Hao
Neurology
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Does cerebral infarction require long-term medication?

Patients with cerebral infarction need to take medication long term. Generally, patients with cerebral infarction have underlying diseases such as cerebral arteriosclerosis and hyperlipidemia, or hypertension, hyperlipidemia, and hyperglycemia. Therefore, cerebral infarction patients need long-term medication to control blood pressure, blood lipids, and blood sugar. Additionally, they should take antiplatelet drugs to prevent new thrombus formation and drugs to combat arteriosclerosis to prevent the worsening of cerebral arteriosclerosis and cerebral vascular stenosis. The focus of treatment is also on preventing other blood vessels from blocking, which could lead to a recurrence or worsening of cerebral infarction. Thus, patients with cerebral infarction need long-term medication and regular check-ups during the medication period, including blood tests and liver and kidney function tests, to monitor for any drug-induced liver or kidney damage. If no damage is apparent, they generally need to continue taking medication long-term. (Please take medication under the guidance of a professional physician.)

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Written by Tang Bo
Neurology
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Is lacunar infarction hereditary?

Lacunar stroke is a type of small stroke that occurs within the brain due to the narrowing of small arteries. This narrowing is often caused by long-term hypertension or diabetes, among other risk factors, leading to the obstruction of these vessels. Some patients may not exhibit any symptoms, while others might experience mild symptoms. Regardless of the cause, both hypertension and diabetes have genetic components, suggesting that lacunar strokes are influenced by genetics but are not entirely hereditary. Furthermore, the specific location of a lacunar stroke within the brain determines the symptoms experienced, implying that the condition is not solely genetic but does have genetic factors.

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Written by Tang Bo
Neurology
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Do you need to take medication for a long time for cerebral infarction?

Brain infarction generally requires long-term medication, and the specific medications to be taken can vary from person to person. Moreover, the choice of medication should be determined by a doctor based on the patient's condition and past risk factors. Brain infarction is a disease caused by multiple factors, with common causes including hypertension. In the case of hypertension, the choice of antihypertensive medication and the duration of treatment should be based on the patient's blood pressure to maintain it within a normal range. There is also a possibility that the condition is due to diabetes, as some diabetic patients are also prone to brain infarction. Such patients may need to use long-term antidiabetic drugs or insulin to control blood sugar. Additionally, antiplatelet medications might be necessary for brain infarction, but whether to use them should also be determined by the doctor based on the patient's specific circumstances. Since medications can have side effects, a comprehensive decision must be made on what drugs to use. (Note: The use of medications should be carried out under the guidance of a professional doctor.)