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Cerebellar damage and loss of balance are mainly evaluated according to the degree of cerebellar damage and the patient's physical fitness. In general, patients with mild cerebellar damage and good physical fitness can recover, while patients with severe impairment of cerebellar balance function and poor physical basic conditions cannot fully recover. The cerebellum is mainly responsible for body balance, and symptoms such as dizziness, nausea, vomiting, unsteady walking, and ataxia may occur if the cerebellum is damaged.
The main causes of cerebellar injury are cerebellar infarction, cerebellar hemorrhage, cerebellar mass and trauma.
1. Recoverable: If the area of cerebellar damage is small, the degree of impact is low, and at the same time, due to good physical fitness and no underlying diseases, the general prognosis will be better, and it can return to normal after cooperating with the doctor to exercise balance function;
2. Non-recoverable: If the damaged area of the cerebellum is large, more than 1 2 of the cerebellar volume, it has seriously affected the balance function, and the basic conditions of the body are poor, such as hypertension, diabetes, coronary heart disease and other underlying diseases, the prognosis may be poor. Generally, after systematic training, some balance can be restored, but some people may have sequelae symptoms, such as dizziness and unsteady walking.
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Many cerebellar injuries are irreversible. It takes some exercise the day after tomorrow to keep him from doing. It's getting worse. Therefore, it is necessary to cooperate with the doctor actively**. And do some memories and other kinds of sequences so that you don't have too many problems.
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Cerebellar atrophy is a category that can lead to ataxia, and there is currently no guidance on how to do it: for this case, drugs that nourish the nerves can be used, and piracetam cerebrolin can be used.
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Cerebellar infarction 2, need bed rest, avoid excessive head movement, etc. 3, **according to ischemic cerebrovascular disease**, aspirin enteric-coated tablets, statins such as simvastatin, etc., traditional Chinese medicine to invigorate blood**, improve brain cell nutrition drugs such as oxiracetam, etc., vasodilators such as buflandil and so on.
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When cerebellar injury occurs, the specific situation depends on the degree of injury. If there is a cerebellum and mild contusion, you can recuperate. With the use of some drugs that nourish the cranial nerves and improve cerebral circulation, and treat the symptoms, it will gradually recover.
However, if the injury is severe or there is bleeding in the cerebellum, resulting in brain herniation, emergency surgery is required to remove the hematoma.
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Hello, what I personally think is the best for you. The specific medical institution needs to be observed and considered by yourself.
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The cerebellum is broken, hospitalization is recommended**. It's all so serious, can you still not be hospitalized?
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If the patient presents in a timely manner, thrombolysis should be actively performed within the time window of thrombolysis**. If the patient presents late and misses the thrombolysis window, aggressive antiplatelet aggregation**. The drug can choose aspirin enteric-coated tablets combined with bispecific antibody ** with bisulfate and clopidogrel.
In addition, patients should also actively lower lipids**, and the drugs can choose rosuva, statin calcium or atova, statin calcium, etc. In addition to this, patients are given drugs that improve circulation, nourish the nerves. Many cerebellar blockages will bring symptoms of dizziness and unsteady walking, and patients must be actively **** at this time.
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Need bed rest, avoid excessive head movement, etc. **According to ischemic cerebrovascular disease**, aspirin enteric-coated tablets, statins such as simvastatin, etc., traditional Chinese medicine to activate blood**, brain cell nutrition drugs such as oxiracetam, etc., vasodilators such as bufloxidil, etc.
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The cerebellar body is divided into anterior and posterior lobes by a protofissure. If there is a problem, prompt surgery is required**.
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According to the situation of cerebellar injury, different ** measures should be taken, if it is a slight injury, a conservative ** method is generally adopted, mainly with some drugs to nourish the nerve to support the symptoms**, if it is a serious injury. If the injury has an indication for surgery, surgery is required**.
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If the baby's brain injury can be normalized in the early stage**, it will generally not develop into cerebral palsy, and most of it can be cured. A neurological evaluation should be performed after the full moon to detect problems promptly**. Brain injuries also vary from mild to severe, with neonatal brain injuries mainly associated with dystocia and hypoxia at birth, but may also be associated with poor growth.
**Peking University People's Hospital, Zhang Xiaorui.
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Brain injury can be caused by asphyxia at birth, which is the most common cause of brain injury in children. Asphyxia and hypoxia at birth, hypoxic-ischemic encephalopathy and cerebral hemorrhage may occur.
If important functional areas are not involved, the prognosis is relatively good. Due to the child's relatively young age, the plasticity is relatively large, and most children can slowly return to normal. It is also necessary to consider whether there is brain damage caused by hypoglycemia, the impact of high and low blood sugar on brain cells is very serious, especially if the blood sugar is lower and lasts for a long time, it may cause hypoglycemic brain damage.
This brain damage is irreversible and causes permanent damage to nerve cells. In addition, there is a condition caused by hyperbilirubinemia, where bilirubin values exceed 20 mol l, and bilirubin encephalopathy is likely to occur, and the higher the value, the higher the probability of brain damage. This bilirubin encephalopathy is also more troublesome, requiring the application of drugs that nourish nerve cells to promote the development of nerve cells.
If the child has clinical symptoms and needs to be trained, the effect is relatively good.
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Brain injuries vary in severity and are not done in exactly the same way. If it is a mild brain injury, brain **, after the injury consciousness is clear, you can temporarily do not use special drugs**, closely observe the changes in vital signs and limb activities, try to stay in bed, maintain a stable mood, avoid excitement, excessive fear, if headache, you can use painkillers. Patients with moderate brain injury should keep the airway open, give oxygen inhalation, if there is obvious dyspnea, you can do tracheotomy, if the intracranial pressure is increased and cerebral edema, you should use dehydrating drugs such as mannitol, drugs that nourish nerves such as B vitamins, brain protein hydrolysates and other drugs that nourish brain cells**, and can also be combined with hyperbaric oxygen chambers**.
Particularly severe brain injury requiring surgery**.
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That is, there will be unsteady walking, drinking water and choking
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l. Ataxia: due to the lack of cerebellar regulation, the patient is unstable in standing, shaking, and unstable gait, which is the gait of a drunk: when walking, the legs are far apart, swaying from side to side, and the upper limbs are flexed and stretched forward as if they are about to fall.
Difficulty standing on the feet. Generally, you cannot stand on one foot. Handwriting abnormalities are also a manifestation of arm and hand ataxia, with irregular handwriting and tremor of strokes.
Generally, writing is too large, and paralysis tremor is mostly writing too small. 2 Burst language: manifested by slow speech, articulation of punching, monotonous, nasal.
There is a "language similar to a bulbar lesion", but the latter is more peculiar and clumsy, and there is often vocal cord or soft jaw paralysis on objective examination, whereas cerebellar speech is ataxia without paralysis. 3 Poor distance resolution or scale impairment. 4 Alternating dyskinesia.
5 Synergy disorders. 6 Counterattack. 7 nystagmus.
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Symptoms of the prelude to a stroke in the cerebellum, a simple test that detects the state of cerebellar damage.
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Most head injuries can be treated, and there are three types of head injuries: mild, moderate, and severe.
Most of the head injuries are relatively mild, such as mild brain **, skull fracture and scalp hematoma, etc., as long as these patients pay attention to proper rest, reduce unnecessary mental and physical work, most patients can get a very good recovery.
If the patient's head injury is severe and an intracranial hematoma has been formed, but the total amount of blood is not very large, a combination of hemostasis, dehydration, intracranial pressure lowering and prevention of complications can be adopted, and most of the patients can also get a better recovery.
However, if the patient has a severe head injury, such as bleeding more than 30 milliliters in the brain and more than 10 milliliters in the cerebellum, surgery is necessary**. There are usually sequelae left after surgery, which must be done early, and through positive treatment, the patient's quality of life can also be improved.
There is no way to do this disease, only to maintain and improve the way of nourishing the nerves, so as long as it avoids further deterioration, it should still be of some help, and it can also be adjusted through some ways of training.
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