Treatment of lacunar cerebral infarction in the right basal ganglia

Many people have lacunar cerebral infarction (a mild form of cerebral infarction that is more common in older people) due to the presence of arteriosclerosis. Whether it is severe or not, look for symptoms of neurological impairment (such as movement disorders, sensory disturbances, swallowing disorders, motor coordination disorders, etc.). If you don't have the above symptoms, it's not serious, but you shouldn't take it lightly.

Risk factors for cerebrovascular disease, such as hypertension, diabetes, hyperlipidemia, heart disease, etc., should be investigated and targeted**. Prevention should be carried out according to the risk factors of arteriosclerosis, such as a low-salt and low-fat diet, appropriate exercise, and stable mood.

If there are no gastrointestinal tract or other disorders that cause bleeding, long-term prophylaxis with aspirin is recommended. B vitamins (such as B1, B6, methylcobalamin) can also be taken to nourish the nerves, and Ginkgo biloba capsules to improve circulation.

Therefore, if you want to infuse fluids, it is best to give a short-term transfusion of antiplatelet aggregation (such as Danao) + circulatory drugs (such as ginkgo biloba preparations, etc.), and stop when you improve your symptoms. It is usually carried out mainly for risk factors**.

The disease is basically the same as cerebral thrombosis, and it should be actively hypertension, especially those who have had lacunar infarction in the history need to be prevented, and attention should be paid to the pressure not too fast and too low. (1) Acute stage: the principle is to improve blood circulation in the cerebral ischemia area as soon as possible and promote the recovery of neurological function.

1 Alleviate cerebral edema: For patients with large and severe infarctions, dehydrating agents or diuretics can be used. 2 Improves microcirculation:

Low-molecular-weight dextroside can be used, which can reduce blood viscosity and improve microcirculation. 3 Blood dilution: Isovolemic blood dilution**:

Phlebotomy with an equal amount of fluid; High-volume hemodilution**: Intravenous injection of fluids that do not contain blood for volume expansion. 4 Thrombolysis:

Streptokinase. Urokinase. 5 Anticoagulation:

It is used to prevent thrombosis from spreading and new thrombosis from occurring. Heparin. Dicoumarin.

6. Vasodilator: It is generally believed that the effect of vasodilators is uncertain, and sometimes it can aggravate the condition of severe patients with increased intracranial pressure, so it is not recommended to use them in the early stage. 7 Miscellaneous

Hyperbaric oxygen**, extracorporeal counterpulsation**, and light quantum blood** can also be used for this disease. (2) Recovery period: Continue to strengthen the paralyzed limb function exercise and speech function training, in addition to drugs, can be combined with physiotherapy, physical therapy and acupuncture.

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The medicine prescribed by the doctor is correct. It is prescribed for the condition. Can be commonly used. Avoid tobacco and alcohol, and eat more vegetarian food.

The symptoms are fainting, cognitive function changes, limb numbness, consciousness impairment, memory loss, dizziness, decreased resistance, and the damage to the body is very great.

Mild difficulty concentrating, memory loss, headaches, dizziness, dizziness, and unresponsiveness can be alleviated with good maintenance.

The main manifestations of this disease are syncope, numbness of limbs, impaired consciousness, special fatigue, and drowsiness.

In addition to this type of stroke, when we perform a CT or MRI of the head during a physical examination, we can find small ischemic foci, several small spots, and multiple. This is called a lacunar infarction and is called a lacunar infarction. In many cases, there is no feeling, so many people never pay attention.

Some doctors directly tell the patient that everything is normal and that they don't care about him. Insufficiency attacks can be divided into 21 lacunar syndromes, the most common being superficial sensory infarction or transient ischemic attack, followed by pure motor vampiphony. However, due to the complexity of brain function and the diversity of sites of deep arterial occlusion, clinical symptoms are variable, and CT is constantly confirming new clinical types.

<> lumbar infarction is a minor brain injury, but everything depends on the patient's true condition. If the patient is feeling well, it means that the condition is not very serious. It can dynamically observe and follow the doctor's recommendations; If you have physical problems (numbness of the hands, weakness, hemiplegia, etc.) and coughing due to drinking water, you will need systematic and post-training.

In fact, the risk of lacunar cerebral infarction, which refers to stroke of brain tissue due to occlusion of small branches of cerebral arteries, may be related to thrombosis, plate detachment, vasospasm, emboli detachment, etc.

Fatal vitreous disease: more common in patients with chronic non-malignant hypertension, small heart attacks with a diameter of 2-200 mm (5-15 mm in some books) are caused by a blockage of the cerebral arteries or the perforating branches of their arteries. Larger than 15mm is a huge cavity, up to 25mm.

The pure sensory form is characterized by numbness of the body and legs, without symptoms such as limb weakness, aphasia, and hemianopia. If sleep involves only one side of the face, especially the hand, centered on the mouth and the distal end of the ipsilateral arm, it is hand-mouth syndrome. The affected area may have perceptual abnormalities such as cold, heat, pain, or stiffness.

The limbs will be weak, no matter what you do, you will lose your appetite, you will often have headaches, you will often have a feeling of stuffiness, and you may also experience dizziness, and if the situation is very severe, you may faint. Therefore, when we have this symptom, we must go to the hospital in time to see a doctor and not bring unnecessary trouble to ourselves.

Symptoms such as dizziness, headache, nausea, dizziness, vomiting, mental decline, memory loss, weakness of limbs, and poor mental health will occur.

It can lead to aggravation of the condition, headache and dizziness, affect brain function, lead to mental decline, and also cause symptoms of cerebral infarction.

2) Lacunar cerebral infarction is a very small infarction, which mostly occurs in the basal ganglia area and brainstem in the deep part of the brain.

3) The obstruction causes ischemic necrosis of a small area of brain tissue, i.e., the formation of the so-called lacuna.

4) Hypertensive arteriosclerosis, due to the degeneration of the arteriole wall in the brain caused by the influence of long-term hypertension, the lumen is narrowed and the arteriole occlusion occurs. High blood pressure is very common and can cause cerebral infarction**.

5) What you call numbness in the shoulders and legs, which is a manifestation of local damage to the motor sensory area dominated by the site of the lesion.

6) Effective control of hypertension and various types of cerebral arteriosclerosis can reduce the possibility of lacunar stroke, which is the key to the prevention of this disease.

Both belong to cerebral infarction, but lacunar cerebral infarction is a blockage of small capillaries in the brain.

Lacunar cerebral infarction has the characteristics of small lesion site, mild symptoms, and many occasional infarct foci, although lacunar cerebral infarction is known as one of the mildest cerebral infarction types, but lacunar cerebral infarction also has the characteristics of chronic progressive cerebrovascular disease, which continues to progress and has a tendency to become more and more serious. Cerebral infarction and lacunar cerebral infarction have the same principles and methods.

The control of risk factors such as hypertension and hyperlipidemia in patients with cerebral infarction, the regulation of light diet in life, and the functional training for symptoms all need to be carried out continuously in order to prevent the progression of the disease, gradually improve the symptoms, and become more and more progressive. In terms of drug selection, it is recommended that patients choose the secondary research and development of traditional Chinese medicine Tianxintai for ** and prevention, which will be of great help to patients with cerebral infarction.