What is the best treatment for cerebral infarction?

Written by Zhou Yan
Geriatrics
Updated on May 01, 2025
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In the treatment of cerebral infarction, there is no best option, only the most suitable one based on the different conditions at the time. Generally speaking, there are several major aspects. First, it is necessary to improve cerebral circulation. One method is thrombolysis, and another is interventional treatment. One of these two approaches is chosen depending on the specific conditions, including corresponding contraindications and indications. Next, treatments can include antiplatelet aggregation, anticoagulation, fibrinolytic therapy, volume expansion, vasodilation, and improving cerebral blood circulation. Furthermore, there is neuroprotective treatment and other therapies like hyperbaric oxygen and hypothermia. Another major category is general management, which, in addition to symptomatic treatment, includes life support such as oxygenation, cardiac monitoring, managing cardiac complications, temperature control, blood pressure control, blood sugar control, and nutritional support. Additionally, there is treatment for acute-phase complications such as cerebral edema, epilepsy, swallowing difficulties, pneumonia, urinary retention and infection, and deep vein thrombosis. Finally, there is early rehabilitation therapy. After a stroke, in a stable condition, it is important to engage in activities such as sitting, standing, and walking as much as possible, and to focus on rehabilitation training in speech, movement, psychology, and other aspects, aiming to quickly restore the ability to perform daily activities independently.

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Written by Chen Ya
Geriatrics
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How long can one survive after a stroke?

The lifespan after a stroke depends on the location and area of the stroke, the treatment received, and subsequent complications. Some patients with severe acute strokes are at risk of life-threatening conditions, and not everyone survives this acute phase. Those who do survive and enter the recovery and post-effects phases can extend their lifespan by controlling risk factors for stroke, delaying or preventing recurrence. Early rehabilitation, such as acupuncture during the early recovery phase, does not affect the normal lifespan in mild cases. However, recurrent strokes can shorten the lifespan, especially if complications like aspiration pneumonia occur afterward.

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Written by Tang Bo
Neurology
53sec home-news-image

Can lacunar infarction be treated?

Lacunar stroke is a type of cerebral infarction. It occurs due to long-term hypertension or other causes leading to arteriosclerosis in the small vessels inside the skull or other thrombus formations, leading to stroke. It is treatable, and the treatment is generally the same as for other types of strokes. Early on, depending on the patient’s condition, thrombolytic treatment can be chosen if it is within 4.5 hours from onset. However, if the symptoms are mild, the benefits and risks should be weighed. Treatment may also include antiplatelet therapy to improve circulation, lipid-lowering, and plaque stabilization. It is also necessary to tailor treatment to the individual patient and to further investigate whether there is significant narrowing of the vessels to guide prognosis.

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Written by Zhou Yan
Geriatrics
1min 52sec home-news-image

What is the best treatment for cerebral infarction?

In the treatment of cerebral infarction, there is no best option, only the most suitable one based on the different conditions at the time. Generally speaking, there are several major aspects. First, it is necessary to improve cerebral circulation. One method is thrombolysis, and another is interventional treatment. One of these two approaches is chosen depending on the specific conditions, including corresponding contraindications and indications. Next, treatments can include antiplatelet aggregation, anticoagulation, fibrinolytic therapy, volume expansion, vasodilation, and improving cerebral blood circulation. Furthermore, there is neuroprotective treatment and other therapies like hyperbaric oxygen and hypothermia. Another major category is general management, which, in addition to symptomatic treatment, includes life support such as oxygenation, cardiac monitoring, managing cardiac complications, temperature control, blood pressure control, blood sugar control, and nutritional support. Additionally, there is treatment for acute-phase complications such as cerebral edema, epilepsy, swallowing difficulties, pneumonia, urinary retention and infection, and deep vein thrombosis. Finally, there is early rehabilitation therapy. After a stroke, in a stable condition, it is important to engage in activities such as sitting, standing, and walking as much as possible, and to focus on rehabilitation training in speech, movement, psychology, and other aspects, aiming to quickly restore the ability to perform daily activities independently.

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Written by Wang Li Bing
Intensive Care Medicine Department
52sec home-news-image

What should be done if the area of cerebral infarction is large?

If a large cerebral infarction occurs, brain edema often peaks within two to three days, and the mortality rate is extremely high. If medical attention is sought within six hours of onset, thrombolytic therapy can be considered. If emergency thrombolysis is exceeded, then only conservative drug treatment is available. For example, mannitol dehydration to reduce intracranial pressure, nourish neurons, protect brain cells, provide nutritional support, etc. After a stroke, it is essential to monitor changes in the patient's consciousness and pupils, dynamically assess the patient’s Glasgow Coma Score, and be aware of various potential complications. Family members should be well-informed about the patient's condition, etc. (Specific medications should be administered under the guidance of a doctor.)

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Written by Tang Bo
Neurology
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What to eat for lacunar infarct.

Lacunar stroke is a type of cerebral infarction caused by small vessel disease that leads to the occlusion of cerebral vessels. Therefore, the dietary recommendations for lacunar stroke are similar to those for general stroke. For patients who are overweight, it is important to control body weight. It is recommended to reduce the intake of animal liver and other organ meats, as well as foods high in cholesterol or fat. It is advisable to consume high-quality proteins such as milk, duck, fish, and soy products. The intake of pork, beef, and lamb, especially fatty cuts, should be minimized and lean meats should be emphasized. Additionally, it is beneficial to consume more vitamin-rich foods such as tomatoes and fruits, and to increase the intake of vegetables. Diets should be light and avoid excessive salt intake to prevent hypertension, which can also lead to lacunar stroke.