Imaging manifestations of cerebral infarction

Written by Zhang Hui
Neurology
Updated on March 06, 2025
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For patients with cerebral infarction, in addition to collecting medical history and clarifying symptoms and signs, imaging examinations are also very important for the diagnosis and differential diagnosis of cerebral infarction. They are indispensable tools in clinical examinations. Cerebral infarction primarily requires cranial CT and MRI scans. On cranial CT, cerebral infarction lesions mainly appear as low-density areas and are easily distinguishable from cerebral hemorrhage. The lesions may cause swelling and have a certain mass effect. In cranial MRI, the appearance of cerebral infarction is primarily seen in diffusion-weighted imaging as a distinctly high signal, making it very easy to identify the responsible lesions. In T2-weighted images, the high signal is also clearly visible and easier to differentiate.

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Written by Tang Bo
Neurology
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How many years can a person live with a lacunar stroke?

Lacunar stroke occurs when the small arteries within our brain undergo pathological changes due to long-term high blood pressure, leading to occlusion of the vessel lumen and consequently forming small stroke lesions. Generally, patients may exhibit symptoms, but these symptoms are usually mild. However, some patients are diagnosed during physical examinations. Regardless of the case, the prognosis is good, and lacunar stroke does not pose a life-threatening risk. Nevertheless, once a lacunar stroke occurs, it is essential to further investigate the condition of the blood vessels and check for risk factors such as high blood pressure and diabetes. Based on the situation, secondary prevention should be carried out to prevent another stroke.

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Written by Zhang Hui
Neurology
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Can people with cerebral infarction eat eggs?

For patients with cerebral infarction, it is acceptable to eat egg whites. Egg whites contain abundant amino acids which can enhance the body's resistance and ensure adequate nutrition for the patient. For cerebral infarction, it is advisable to consume fewer egg yolks. Additionally, egg yolks have a relatively high cholesterol content, which is not conducive to controlling blood lipids in patients. Thus, egg whites can be consumed, but egg yolks should be eaten in moderation. Moreover, patients with cerebral infarction should also consume plenty of fresh vegetables and fruits, which are rich in folic acid and can help fight arteriosclerosis. Additionally, it is beneficial to eat foods rich in unsaturated fatty acids, such as some deep-sea fish and olive oil.

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Written by Chen Ya
Geriatrics
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Nursing Measures for Patients with Cerebral Infarction

The nursing measures for stroke patients vary according to different conditions. During the acute phase, the primary concern is life-threatening infections, while during the recovery and residual stages, the focus is on preventing various complications and risks. The care measures are categorized as follows: The first is dietary care. Relatives of stroke patients should be reminded that the diet should be light, low in fat, and high in fiber, following the principle of eating small meals frequently. The second is maintaining clear airways, preventing colds, especially tuberculosis, and ensuring that someone watches over the patient at all times. The third is the prevention of bedsores, assisting and maintaining regular patient turning and moderate activity. The fourth involves preventing burns, bruises, falls, and other injuries by creating a safe and comfortable environment for the patient, ensuring their safety and that there are no hazardous objects in the room. The fifth is preventing constipation which can be aided by abdominal massage and eating foods high in fiber. The sixth is preventing urinary tract infections, timely changing diapers for those patients who can urinate independently, or ensuring sterile techniques for those with catheters. The seventh is preventing falls from the bed, especially for those who are restless; installation of bed rails and other safety measures should be considered. The eighth concerns psychological care since many patients tend to become pessimistic and disappointed post-illness. Family members should be caring and provide comfort and encouragement to the patients. The ninth general care measure involves daily oral care with saline solution or brushing teeth every morning and evening, bathing the patient once or twice a week, and daily cleansing of the genital area.

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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 Liu Hong Mei
Neurology
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The dangers of staying up all night for cerebral infarction

The dangers of staying up late for those with cerebral infarction are significant. Staying up late can easily lead to an increase in blood pressure, which can damage the inner lining of blood vessels, cause cerebral arterial atherosclerosis, and easily lead to ischemic and hypoxic injuries in the brain tissue, resulting in new or aggravated cerebral infarctions. Long-term staying up late can reduce the ejection fraction of the heart, leading to insufficient cerebral blood supply, and easily trigger cerebrovascular diseases. For patients with cerebral infarction, it is generally advised to have regular living habits, avoid staying up late, wake up on time, and also participate in appropriate physical exercise.