Which department should I go to for a cerebral infarction?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on March 20, 2025
00:00
00:00

Stroke is caused by blockage or narrowing of blood vessels within the skull, leading to ischemic necrosis of brain tissue and a range of symptoms. Typically, patients with strokes are seen in neurology departments. Of course, the location of the stroke varies, and each patient's clinical presentation is different. If a stroke occurs, a cranial CT scan can provide a clear diagnosis. Clinically, treatment primarily involves dehydration, lowering intracranial pressure, brain protection, and nutritional support. If the patient has a large area of cerebral infarction and high intracranial pressure, they can be seen in neurosurgery, where procedures such as craniotomy decompression may be used to reduce intracranial pressure.

Other Voices

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 4sec home-news-image

What is the cause of swollen feet after a stroke?

Patients with cerebral infarction presenting with swollen feet and lower limb edema should be aware of the following reasons. The first scenario is due to reduced activity in the limbs on the paralyzed side, which results in weaker muscle contraction. Consequently, a large amount of blood accumulates in the lower limb veins, causing poor circulation and naturally leading to swollen feet. Therefore, it is crucial for patients to begin early rehabilitation training, engage in muscle massage, and perform passive joint exercises, among other activities. The second scenario that requires close attention is the formation of venous thrombosis in the lower limbs on the paralyzed side after a cerebral infarction. This condition can easily lead to venous thrombosis, which significantly contributes to foot swelling. Furthermore, it increases the risk of pulmonary embolism. It is important to complete routine coagulation tests and d-dimer examinations, as well as comprehensive lower limb venous Doppler ultrasound assessments.

doctor image
home-news-image
Written by Liu Yan Hao
Neurology
54sec home-news-image

Can a cerebral infarction be effectively treated?

Most cases of cerebral infarction can be treated effectively, except for some extensive cerebral infarctions, which may leave varying degrees of sequelae. During the acute phase of treatment for cerebral infarction, medications that promote blood circulation, improve circulation, prevent platelet aggregation, and anti-atherosclerosis drugs are used. If treatment can be administered within three hours of onset, intravenous thrombolysis can be performed, which may lead to a faster recovery if successful. Additionally, medications that eliminate free radicals are used during the acute phase to remove free radicals that damage brain cells. Other treatments involve the use of neurotrophic drugs to support the repair of damaged brain cells. After stabilizing the condition, active rehabilitation exercises are recommended, and most patients can be effectively treated.

doctor image
home-news-image
Written by Tang Bo
Neurology
43sec home-news-image

Is lacunar infarction a serious illness?

Lacunar stroke is a condition where small blood vessels in the cerebral hemispheres or brainstem undergo pathological changes and eventually become occluded as a result of common risk factors such as prolonged hypertension or diabetes. This leads to the necrosis of brain tissue. Typically, the infarct size is less than 1.5 to 2 centimeters, resulting in clinical syndromes associated with impaired neurological functions governed by the affected area. Often, lacunar strokes may be asymptomatic in some patients, while others may experience mild symptoms. Generally, the prognosis of this disease is good.

doctor image
home-news-image
Written by Chen Ya
Geriatrics
1min 3sec home-news-image

How long can someone with a complete paralysis from a cerebral infarction survive?

The life expectancy of patients with total paralysis from cerebral infarction cannot be generalized, as it depends on the size and location of the stroke, as well as the treatment received. A larger affected area, especially if the stroke occurs in a critical area like the brainstem, and if treatment is delayed, may result in the patient not surviving the acute phase due to high intracranial pressure, which can be fatal. If a patient survives the acute phase and moves into the residual effects phase, the outcome will depend on the rehabilitation treatment received, as well as care from family and community nursing. Such patients are prone to complications, such as pneumonia, which can be life-threatening. The initial stroke may not be fatal, but the treatment outcomes vary significantly. Some patients, if well cared for and treated promptly without recurring episodes, can have a comparatively long lifespan.

doctor image
home-news-image
Written by Chen Ya
Geriatrics
33sec home-news-image

Brain infarction refers to the condition.

A cerebral infarction, commonly abbreviated, is typically referred to in full as thrombotic cerebral infarction or cerebral thrombosis. The most common cause is the formation of a local thrombus or from distant sites, such as the heart or major blood vessels, causing ischemia, hypoxia, and other disturbances in the cerebral blood supply. This results in localized ischemic necrosis or softening of brain tissue, leading to corresponding neurological deficits and signs.