Bilateral corona radiata cerebral infarction

As people age, they are bound to have some basic geriatric diseases, such as diabetes, coronary heart disease, high blood pressure, etc. If these diseases are not actively treated from time to time, they may further lead to cerebral infarction. If you find that the elderly in your family are distracted and forgetful, you should take them to the hospital for examination in time. Some diagnostic reports will show the words "bilateral corona radiata cerebral infarction", so what type of cerebral infarction is this? Let’s take a look together.

1. Concept

The corona radiata refers to the radial fibrous white matter from the internal capsule to the cerebral cortex. Because the corona radiata fibers are arranged more dispersedly, infarction here often manifests as localized neurological symptoms. Coronal radiatum lacunar infarction is relatively common in clinical practice. It is a symptom of cerebral infarction and refers to the infarction foci occurring in the corona radiatum of the brain. On the basis of hypertension and arterial infarction, tiny arteries deep in the brain become occluded, causing ischemic softening of brain tissue.

1. Causes

It is related to hypertension, arteriosclerosis and hyperlipidemia.

Symptoms

Clinically, most patients have no obvious symptoms. About 3/4 of the patients have no symptoms of focal nerve damage, or only have mild symptoms such as inattention, memory loss, mild headache, dizziness, vertigo, and slow reaction.

IV. Hazards

It is prone to relapse and delayed nerve damage. In severe cases, it can invade the entire central nervous system, causing nerve damage and paralysis, which is life-threatening. Some people will experience progressive intellectual decline and cerebrovascular dementia.

5. Diagnosis

Multiple cerebral infarctions in the bilateral corona radiata are often seen in demyelinating encephalopathy and are easily misdiagnosed by CT scan. It is recommended to do a magnetic resonance imaging to characterize the condition before treatment.

6. Treatment

1. The drugs are mainly used to nourish brain nerves and soften blood vessels.

2. The disease is in the acute stage within two weeks of onset and the patient should be hospitalized for active blood circulation, blood stasis removal and thrombolytic treatment.

3. After two weeks, it is recommended to take Chinese herbal medicine in addition to conventional Western medicine.

VII. Prevention

1. Hypertensive patients should take long-term medication and measure their blood pressure regularly to keep their blood pressure within the normal range;

2. Diabetic patients should strictly control their diet, adhere to hypoglycemic treatment, and keep blood sugar within the normal range. The blood pressure of diabetic patients should be controlled at ≤130/85mmHg.

3. Patients with hyperlipidemia should receive lipid-lowering treatment;

4. Perform blood rheology examinations regularly. Those with high blood viscosity need to take small doses of aspirin orally.

5. Have regular heart examinations, pay special attention to changes in heart function and arrhythmias, improve blood supply to the heart, and prevent and treat coronary heart disease.

6. For sudden symptoms such as headache, dizziness, memory loss, slow reaction, amnesia, blurred vision, facial numbness, etc., you should be vigilant and go to the hospital for a head CT scan as soon as possible for early detection and treatment.