What is Cerebral Infarction? - Oren Zarif - Cerebral Infarction
A cerebral infarction is a vascular disorder characterized by a sudden, severe blockage in the blood flow to the brain. It may be caused by arterial occlusion, embolization, or an internal cartoid artery anomaly. However, cerebral infarction can also occur when the endothelium of the artery is abnormal. In some cases, a cerebral embolus can cause cerebral infarction, as its breakup allows blood to flow back to the ischemic region. However, hemorrhagic infarction is a different kind of cerebral infarction caused by the leakage of blood through damaged blood vessels.
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There are several distinct subtypes of cerebral infarction, depending on the risk factors and etiology involved. Many strokes have multiple etiologies and risk factors, and some recurrences have more than one. The three main ischemic stroke mechanisms are embolism, decreased perfusion, and thrombosis, but other causes may occur, such as lacunar infarction.
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One study examined 201 cases of first-onset cerebral infarction in young adults, aged fifteen to 55 years. The control subjects were age-matched and were also white. The men and women were similar in age and sex, with men having a higher rate of cerebral infarction. Table 2 shows the frequency distribution of suspected mechanisms of cerebral infarction in young adults. Of note, nearly one-third of cases had no known cause.
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Thrombotic strokes are more common than ischemic strokes and can be more severe than TIAs. These types of thrombotic strokes often precede TIAs. While they may not be as severe as a TIA, they can be a warning sign of a stroke. While the symptoms of these two types of cerebral infarction are similar, a subarachnoid hemorrhage can also occur.
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CT perfusion is a crucial tool in the selection of patients for reperfusion therapy. This technique improves ischemic stroke diagnosis by fourfold. The scan can also detect large-vessel stenosis, which accounts for approximately one third of ischemic strokes. The CTA is an excellent tool for detecting large-vessel stenosis, a leading cause of cerebral infarction. Further, it allows doctors to determine the location and severity of clots in the heart.
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The symptoms of cerebral infarction depend on the area of the brain affected. The primary motor cortex is affected when infarction occurs, while those in the brainstem are caused by a disorder called brainstem syndrome. Symptoms of cerebral infarction may include weakness on the opposite side of the body, eye movements not coordinated, abnormal pupil dilation, and loss of sensation on the opposite side. Another type of cerebral infarction may affect speech, and reflexes may be aggravated.
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Acute ischemic stroke may be misdiagnosed as a brain tumor. Although the underlying vascular territory may be intact, the brain may have extensive white matter lesions. MR images may show a hemorrhagic change and irregular contrast enhancement. It may mimic peritumoral edema. MR venography can detect this condition. A short-term follow-up is recommended. In many cases, the infarcted area will be difficult to visualize.
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The treatment for a cerebral infarction can involve a variety of medical treatments. Surgical procedures may be an option if the infarcted area is large. Invasive angioplasty can help relieve pressure on the brain and repair problems with blood vessels. Surgical clipping may prevent bleeding aneurysms. It is possible to repair a hemorrhagic stroke through surgery. Another option involves removing the thrombus.
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A symptomatic treatment for cerebral infarction should include the management of high blood pressure. Lowering blood pressure will prevent subsequent strokes, which is often a precursor to a recurrent condition. As with most medical conditions, controlling your blood pressure may also help prevent a recurrence of the condition. Once diagnosed, the most important treatment for cerebral infarction is to prevent thrombosis. If this condition is left untreated, the disease can lead to death.
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Although most cases of cerebral infarction are temporary, the recovery time is critical. A recurrence of cerebral infarction depends on the size and location of the infarct. The faster the patient receives treatment, the less damage will occur. But there are a few risks associated with recurrence. So, if you experience a stroke, it's important to seek medical attention as soon as possible.
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While the symptoms of a TIA can be temporary, it is still a serious medical condition. TIAs are often misinterpreted by people and can be fatal if ignored. The sooner you seek medical care, the better. Remember, it's never too late to make a diagnosis of cerebral infarction. You can save your life by recognizing the symptoms. If you suspect a stroke, seek medical help as soon as possible.
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