Sequelae of thalamic infarction

Some elderly people suddenly feel numbness and swelling in half of their body, always feel like falling when walking, have irregular heart rhythm, high blood pressure, and antihypertensive drugs are not very effective. At this time, family members must be highly vigilant and send the teacher to the hospital for examination as soon as possible, because this situation is likely to be caused by thalamic infarction. So, what sequelae will occur if this disease is not treated in time? Let’s take a look at the following introduction together.

1. Concept

Cerebral infarction, also known as ischemic cerebrovascular disease, is a disease caused by insufficient blood supply to the brain due to thrombosis, embolism or other reasons in the cerebral blood vessels. Thalamic infarction refers to an infarction located in the thalamus of the brain.

2. Symptoms

1. Acute stroke-like onset, manifested by fluctuating disturbances of consciousness, amnesia, apathy, and may be accompanied by oculomotor nerve paralysis, vertical gaze disorder, etc. Most patients present with drowsiness and transient disturbance of consciousness, accompanied by varying degrees of decreased consciousness levels, which last for varying durations. Those with larger infarction areas will last longer.

2. Disturbance of consciousness of varying severity. Neuropsychiatric disorders occur after a brief disturbance of consciousness, mainly manifested as abnormal cognitive function and behavior, disorientation, apathy, frequent fabrication, prominent amnesia for recent events, and lack of will.

3. Causes

Before the onset of the disease, patients often have symptoms such as hypertension, hyperlipidemia, and high blood sugar.

IV. Hazards

The main manifestations of sequelae of thalamic infarction are:

1. Thalamic Hand

Thalamic hand often manifests as contracture of the contralateral upper limb; wrist flexion and pronation, and the hand and fingers are constantly in a characteristic posture, that is, the distal joints of each finger are in hyperextension, the middle joints of each finger are in flexion, and the metacarpophalangeal joints are flexed so that the fingers are also flexed; each finger slowly

The fingers move one by one, and most of them have movement disorders; most of the wrist joints are ulnarly deviated; they may be accompanied by resting tremor or intention tremor, and chorea-like movements; there is generally no sensory disturbance.

2.

Thalamic dementia

① Memory impairment: including immediate memory, short-term memory, and long-term memory impairment, mainly manifested as short-term memory impairment.

② Cognitive impairment: manifested as intellectual impairment, lack of judgment, and difficulty in orientation to time, place, and people.

③ Language disorder: unclear speech, decreased spontaneous speech, lower volume, slow speech, and mutism in severe cases.

④ Mental and behavioral abnormalities: manifested as indifference, inattention, reduced movement, and sitting all day.

3.

Thalamic aphasia

It is characterized by low speech, small speech volume, semantic paraphasia and other typical features, which are considered to be the three core symptoms of thalamic aphasia.

4. Episodic falls

Paroxysmal falls are characterized by no dizziness when lying flat, but sudden dizziness and instability when getting up and walking, and falling due to sudden weakness in the lower limbs. After a short period of limb weakness, the patient quickly recovers. It may also be accompanied by hemiplegia, deep and shallow sensory disorders, sensory ataxia, etc.

symptom.

5. Treatment

1. Treatment mainly focuses on improving circulation, nourishing nerves, preventing complications, controlling risk factors, rehabilitation training, etc.

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. Dilate blood vessels, nourish nerves, promote blood circulation and remove blood stasis, lower blood lipids and eat a low-fat diet, pay attention to functional exercises, and appropriately participate in physical activities within your ability.

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

VII. Prevention

1. Diabetic patients should strictly control their diet, adhere to hypoglycemic treatment, keep blood sugar within the normal range, and maintain a regular life.

2. Eat more fresh vegetables and fruits, light food, engage in moderate exercise, and maintain a good attitude.