Paraventricular lacunar infarction

Paraventricular lacunar infarction is a relatively common type of cerebral infarction. According to statistics, its incidence rate is quite high, accounting for 20% to 30% of the number of cerebral infarctions. People at high risk include patients with diabetes, hypertension, arteriosclerosis, hyperlipidemia, etc. Since the blocked blood vessels are smaller and the lesion area is smaller, the harm is generally speaking relatively small. Let us take a closer look at this disease through the article below.

1. Concept

Lacunar infarction is a type of cerebral infarction, which refers to small penetrating arteries deep in the cerebral hemisphere or brainstem. On the basis of long-term hypertension, vascular wall lesions occur, leading to occlusion of the lumen and formation of small infarction foci. Common sites of disease occurrence include the putamen, caudate nucleus, internal capsule, thalamus and pons, with a few located in the corona radiata and subependymal zone.

2. Causes

Its occurrence is closely related to factors such as hypertension, arteriosclerosis, diabetes, and embolism. Since the blood supply range of deep perforating arteries is limited, the blockage of a single branch causes ischemic necrosis of a very small area of ​​brain tissue, forming the so-called cavity.

Symptoms

Unsteady walking, listlessness, headache, rapid heartbeat, dizziness, high blood pressure, cervical pain, nausea, shoulder pain, fatigue, numbness in the face, arms, and feet.

IV. Hazards

Lacunar infarction is a relatively small stroke, and in most cases the symptoms are mild or no. Because the occluded blood vessels are smaller, such as perforating arteries, and are limited to their smaller blood supply areas, the lesions are smaller, so the harm is generally less.

IV. Treatment

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

2. For cerebral infarction caused by atherosclerosis and detachment of cardiac emboli, antiplatelet aggregation and anticoagulant treatment are needed; some patients have concurrent primary diseases such as hypertension, diabetes, coronary heart disease, and need active treatment.

5. Prevention

1. The first step in preventing and treating lacunar infarction is to control blood pressure, blood lipids and blood sugar. The second is to delay arteriosclerosis and prevent thrombosis. The third is a healthy lifestyle, a balanced diet, a light diet low in salt, fat and body fat, proper exercise, smoking cessation and alcohol restriction, and a balanced mentality. Fourth, regular check-ups are required to ensure early prevention and treatment. In addition, in daily life, you should pay attention to avoid excessive fatigue and emotional excitement. It is best to drink a glass of warm boiled water in the morning.

2. Develop good living habits and moderate physical activities are good for health. Avoid bad habits such as smoking, alcoholism, overeating and binge drinking. Mainly focus on a low-fat, low-calorie, low-salt diet to ensure sufficient high-quality protein, vitamins, fiber and trace elements. Overeating is not good for your health. Do not eat moldy food, salted fish, cold food, etc. Pay attention to drinking plenty of water; eat a variety of foods, mainly cereals; eat more potassium-rich foods such as peaches, oranges, bananas, spinach, edamame, sweet potatoes, potatoes, etc., which can lower blood pressure.

6. Which patients with cerebrovascular disease can live longer?

This depends on the nature and severity of the patient's cerebrovascular disease. If the area of ​​cerebral vascular infarction is large and the damage to the nervous system and the degree of hemiplegia are severe, the patient's survival time will be short; however, if cerebrovascular disease is treated with Chinese medicine in time within 3 months or half a year of onset, the rehabilitation effect will be very good, the degree of recovery will be good, the sequelae will disappear quickly, and the patient's life span will be long. Patients with severe hemiplegia and long-term bedriddenness are mostly due to infection or combination. and other diseases and are prone to early death; while for those with mild hemiplegia, if they can actively adhere to treatment and functional exercises, pay attention to maintenance, and face the setbacks in life with an optimistic attitude, then longevity is not difficult.