Which department should I go to for cerebral infarction?

The brain is the control center of the human body and also the most important organ. If there is any disease in the brain, it is a more difficult problem. However, in real life, many people suffer from cerebral infarction. Cerebral infarction is a disease related to the nervous system, but many people are not clear about the department to which cerebral infarction belongs. If you unfortunately encounter such a disease and don't know the relevant departments, you will often waste time for no reason. Now, let’s find out which department to go to for cerebral infarction.

1. Which department should I go to for cerebral infarction?

Arteriosclerotic cerebral infarction refers to the stenosis and occlusion of the arterial lumen caused by atherosclerosis and thrombosis in the cerebral arterial system, leading to necrosis of local brain tissue in the arterial blood supply area. Cerebral infarction is a neurological disease and is usually treated in the neurology department.

2. Cerebral infarction

Cerebral infarction was formerly known as cerebral infarction, also known as ischemic stroke, which refers to ischemic necrosis or softening of localized brain tissue due to impaired blood supply, ischemia and hypoxia in the brain. Common clinical types of cerebral infarction include cerebral thrombosis, lacunar infarction and cerebral embolism, and cerebral infarction accounts for 80% of all strokes. Diseases closely related to it include: diabetes, obesity, hypertension, rheumatic heart disease, arrhythmia, dehydration due to various reasons, various arteritis, shock, and excessive and rapid drop in blood pressure. The main clinical manifestations are sudden fainting, unconsciousness, hemiplegia, speech disorders, and intellectual disabilities. Cerebral infarction not only poses a great threat to human health and life, but also brings great pain and heavy burden to patients, families and society.

3. Clinical manifestations

1. Main clinical symptoms

The clinical symptoms of cerebral infarction are complex, which are related to the site of brain damage, the size of ischemic blood vessels, the severity of ischemia, the presence or absence of other diseases before the onset of the disease, and the presence or absence of other important organ diseases. In mild cases, there may be no symptoms at all, that is, asymptomatic cerebral infarction; it may also manifest as recurrent limb paralysis or dizziness, that is, transient ischemic attack; in severe cases, there may not only be limb paralysis, but even acute coma and death. If the lesion affects the cerebral cortex, it may manifest as epileptic seizures in the acute stage of cerebrovascular disease, with the highest incidence within 1 day after the onset of the disease. Cerebrovascular disease with epilepsy as the first onset is rare. Common symptoms include:

(1) Subjective symptoms include headache, dizziness, vertigo, nausea, vomiting, motor and/or sensory aphasia, and even coma.

(2) Cranial nerve symptoms include staring toward the side of the lesion, central facial paralysis and tongue paralysis, and pseudobulbar palsy, such as choking when drinking water and difficulty swallowing.

(3) Physical symptoms include hemiplegia or mild hemiplegia, hemisesthesia, unsteady gait, limb weakness, incontinence, etc.

2. Clinical classification of cerebral infarction site

(1) Lacunar infarction: The infarct area of ​​cerebral infarction is less than 1.5 mm, and the symptoms include: subacute onset, dizziness, unsteady gait, limb weakness, and a few patients may have choking when drinking water and difficulty swallowing; there may also be hemiplegia and hemisensory loss, and some patients have no localizing signs.

(2) Medium-sized infarctions are most common in the basal ganglia, thalamus, bilateral frontal lobes, and temporal lobes. Symptoms include: sudden headache, dizziness, frequent nausea, vomiting, clear consciousness, hemiplegia or hemisensory disorder, hemianopsia, central facial paralysis and tongue paralysis, pseudobulbar paralysis, aphasia, etc.

(3) Patients with large-area infarction have an acute onset and are in critical condition. They may suffer from hemianopsia, hemiplegia, hemisensory loss, or even quadriplegia, cerebral hernia, and coma.