Cerebral infarction is one of the common cerebrovascular diseases, which often causes hemiparesis, decreased muscle strength in the limbs, and weakened muscle tone.It has a greater impact on the patient's ability to perform daily living, quality of life, upper and lower extremity motor function, and balance.Patients with acute phase cerebral infarctionClinical manifestations are often characterized by poor patient endurance, cardiorespiratory weakness, etc.The patient with cerebral infarction is allowed toProne to hemiplegia, which has a serious negative impact on the patient's life and family.Acute cerebral infarction has a high incidence rate and serious disability rate, and belongs to a kind of cerebrovascular disease. Patients with acute cerebral infarction often have different degrees of sequelae after treatment, which brings a huge burden to health care workers and patients themselves.

Patients' ability to actively control their actions in life decreases, the coordination of their limbs deteriorates, and their balance decreases. These phenomena seriously affect patients' daily life and bring a heavy burden to their families. ThereforeImproving and enhancing limb motor function, coordination and quality of life in patients with cerebral infarction is the main goal of treatment.

Current scholarly research confirms that the effect onFunctional remodeling and reorganization of the cerebral cortex is the main mechanism for the treatment of cerebral infarction.

After a cerebral infarction occurs, the recovery of brain function in the patient is mainly concentrated in the first three months, theEspecially in the first month of the onset of stroke, 1 month for the treatment of the fastest recovery, so the earlier the intervention of rehabilitation therapy for stroke patients, the better the therapeutic effect and functional recovery of the patients.。

At present, there are mainly drug therapy, rehabilitation therapy, MOTOmed exercise therapy, acupuncture treatment and other methods in the clinic, with varying results, so early treatment of cerebral infarction, preventing and reducing the disabling effects of stroke on the patient, is increasingly being concerned about becoming the focus of attention.

MOTOmed Intelligent training systems have gained attention in recent yearsMOTOmed is an emerging rehabilitation device that has been widely used in major hospitals, and it has better efficacy in the treatment of upper and lower limb motor function, balance function, and ability to live in patients with cerebral infarction, but less research has been done on the treatment of acute cerebral infarction.

MOTOmed Intelligent Training System is mainlyThree models, i.e., passive movement of the limbs, active training of the patient, and resistance training of the patient. The training system can effectively induce the movement information into the central nervous system and help the central nervous system to send out the movement signal, which can effectively train the function of the cerebral cortex and realize the double promotion effect of the muscles and the brain.

Early use of MOTOmed intelligent training system in the early stage of stroke onset can effectively help patients with both limb and brain training. The training system mainly stimulates the cerebral cortex by inducing motor signals to be transmitted to the cerebral cortex, and then motor signals are transmitted from the central nervous system.

With the deepening of China's reform and opening up, people's lifestyles have undergone a great transformation, and the specter of stroke has appeared frequently in our lives. With its high incidence rate, high recurrence rate, high disability rate, high mortality rate and yearly increasing medical cost, stroke has become an important factor of death and disability in our population.

When it comes to cerebral infarction, everyone has heard of it, in fact, cerebral infarction is a general term for ischemic stroke, which mainly includes cerebral thrombosis, lacunar infarction and cerebral embolism, accounting for about 70% of all strokes (the remaining 30% are hemorrhagic strokes). Cerebral infarction is mainly a brain lesion caused by a blood supply disorder in the brain, that is, due to the sudden reduction or cessation of blood flow in the arteries supplying blood to the brain tissue locally, causing ischemia and hypoxia in the blood supply area of the blood vessel, resulting in necrosis and softening of the brain tissue and accompanied by clinical symptoms and signs in the corresponding areas, such as hemiparesis and aphasia.

When a cerebral infarction occurs, the nerve cells of the brain may undergo irreversible necrosis within a few minutes of ischemia, so the treatment of cerebral infarction is the same as the treatment of myocardial infarction, and it is necessary to fight against the clock to use effective means of treatment. Generally speaking, within 3 hours of the occurrence of cerebral infarction is the best time to save, and it should be pointed out that the earlier the patient receives professional treatment, the better. However, after the occurrence of cerebral infarction, most of the patients and people around them cannot recognize the signs and symptoms of cerebral infarction in time, and in many cases, they cannot seek medical treatment in time. As a result, many patients with cerebral infarction miss the best time for treatment, which affects the recovery of brain function in the later stage. Therefore, it is very necessary to popularize the pre-diagnosis at this stage.

So let's come in today and talk about how to simply recognize a cerebral infarction outside of the hospital.

1. Speaking

Ask the patient to simply learn a sentence from you. This is a language test designed to detect whether the patient's speech is normal. If the patient's speech is unclear or he or she is unable to accurately learn a sentence from you, it means that the patient may have a cerebral infarction.

2. Smile

The patient is asked to smile, which is designed to detect whether the patient's facial expression and facial muscle motor skills are normal through the smile test. If the facial expression is not normal on one side, it also indicates that the patient may have a cerebral infarction.

3. Raise your hand

The patient is asked to close his/her eyes and raise his/her arms horizontally, which is designed to detect whether the patient has normal motor ability in both hands by means of a hand-raising test. If the arms are held flat for 10 seconds and one arm cannot be maintained, this can also indicate that the patient may have a cerebral infarction.

The above symptoms can be simply summarized in a catchphrase: "slurred speech, crooked mouth, and running to the hospital without lifting your arm". If you find someone close to you with these symptoms, don't hesitate! Please send him to a nearby hospital with the ability to save treatment as soon as possible, the earlier the treatment, the better the effect, time is life!

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6 Red Alerts for Cerebral Thrombosis

1. Continuous yawning

In people with ischemic cerebral thrombosis, 80% of those who develop the disease experience yawning for no apparent reason 5-10 days prior to the onset of the disease.

2. Blood pressure abnormalities

A sudden and sustained rise in blood pressure above 200/120 mmHg is a precursor to a sudden cerebral hemorrhage with increased vascular pressure;

A sudden drop in blood pressure below 80/50mmHg should alert you to the formation of cerebral thrombosis. Because at this time the cerebral blood flow rate is slow, or even temporarily stopped, the inherently viscous blood can easily form a thrombus on the walls of already hardened blood vessels.

3. Nosebleeds in hypertensive patients

This is a red flag worth drawing attention to.

Multiple, massive nosebleeds, if complicated by bleeding in the fundus of the eye and hematuria, such a person may develop a cerebral thrombosis within six months.

4. Abnormal gait

Hobbling and weakness in the walking leg is one of the precursor symptoms of hemiplegia.

If an older person's gait suddenly changes and they feel weak in their limbs, this is an early sign of a cerebral thrombosis.

5. Sudden onset of vertigo

Vertigo is a very common early symptom of cerebral thrombosis and can occur at any time prior to cerebrovascular disease, especially when waking up in the early morning. It is also prone to occur after overexertion and bathing.

Especially in patients with high blood pressure, the chances of brain hemorrhage are greatly increased if vertigo occurs more than 5 times in 2 days.

Cerebral infarction is a serious disease that can bring serious harm to patients. In fact, if you can grasp the signs and symptoms of the disease and seek medical treatment in time, you can avoid the emergence of many unnecessary harms. The following is a brief introduction to the identification of cerebral infarction.

1. Speaking. The patient can be invited to learn a simple sentence, the purpose of this method is to detect whether the patient's speech ability is normal or not through the language test. It is worth noting that if the patient has unclear speech or is unable to learn to speak accurately, it means that the patient may have a cerebral infarction.

2. Smile. The patient is asked to smile, with the aim of detecting whether the patient's facial expression and facial muscle movement are normal through the smile test. Generally, if the patient has an abnormal facial expression on one side of the face, it means that he or she may have a cerebral infarction.

3. Hands up. The patient can close his eyes and then try to raise both arms, the purpose of this test is to raise the hands of the test, and ultimately detect whether the patient's hands motor ability is normal. If the patient's arms are lifted for 10 seconds and one arm cannot be maintained well, it also suggests that the patient may have a cerebral infarction.

These are some of the common ways to identify, once the patient is found to exist with suspected symptoms, this time must be timely and accurate diagnosis, in order to avoid the emergence of more unnecessary harm.

Instructor: Chen Yufei, Attending Physician, Department of Neurosurgery, General Hospital of Tongxiang Group Company.

He has been engaged in neurosurgery for more than ten years and has rich clinical experience, specializing in the treatment of craniocerebral trauma, as well as hypertensive cerebral hemorrhage and other diseases.

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Hypertension, atherosclerosis, atrial fibrillation and the occurrence of cerebral infarction are closely related. Patients with long-term hypertension need to be alert to the occurrence of cerebral infarction, especially those with atrial fibrillation.

The most intuitive and accurate way to determine whether a blockage has occurred in a cerebral blood vessel is to have an MRA, or magnetic resonance imaging, of the cerebral blood vessels. Through MRA, it is possible to determine whether the blood vessels are narrowed or blocked, and to determine the exact location of the blockage. Combined with the patient's clinical symptoms and signs, further treatment can be done.

When there is a significant narrowing of the vessels within the vertebrobasilar system, symptoms of posterior circulation ischemia are usually present, primarily, dizziness and occasionally nausea and vomiting.

When the blood vessels within the internal carotid artery system become blocked, paralysis or numbness of one side of the limb, tilting of the mouth and eyes, salivation at the corners of the mouth, unfavorable speech, blurred vision, and hemianopsia can occur.

The above symptoms, which can occur when a person is awake, last for a few seconds or minutes, but less than 24H to relieve themselves, repeated episodes, but do not leave sequelae, is known as transient ischemic attack. When these symptoms occur, we should be alert to the occurrence of cerebral infarction and consult a doctor in time.

Especially long-term hypertension, accompanied by diabetes, high blood fat patients, must do a good job of cerebrovascular disease to prevent the occurrence of atherosclerosis. Patients with a family history of cerebral infarction should be more vigilant, quit smoking, quit drinking, and eat less sweets. If there is a past history of cerebral infarction, patients should pay more attention to do a good job in the secondary prevention of cerebrovascular disease, to prevent the recurrence of cerebral infarction, and actively control the risk factors. Long-term use of antiplatelet drugs is recommended.

With the improvement of medical level, the understanding of cerebral infarction is also deepening, and there is also a perfect treatment system. However, the incidence of cerebral infarction is still high. We still need to continue our efforts to actively screen for cerebrovascular risk factors, so that they can be controlled in a timely, formal, long-term and effective manner.

Answerer: Hao Dandan, M.S.

The best time for early treatment of cerebral infarction (i.e. ischemic stroke) is within 4.5 or 6 hours. Research results show that ischemic stroke patients with large vessel occlusion in the brain will lose an average of 1.9 million neurons per minute if they are not treated in a timely manner, and over 7-8 hours, patients will lose 800-900 million neurons. Therefore, it is extremely important to recognize the signs and symptoms of stroke onset so as to activate the resuscitation system in time and open the green channel for stroke, which is extremely important for acute stroke resuscitation and improvement of patients' long-term survival quality. However, most of our patients or family members are not able to recognize the symptoms of cerebral infarction in time, and if we cannot let the patients seek medical treatment in time, we will regrettably miss the best time to carry out the treatment, which will affect the late recovery of brain function. In fact, before cerebral thrombosis or cerebral infarction, we will body will send out some signals to remind us to timely medical treatment. Here I will introduce what are the "body signals".

1. Weakness or numbness of one limb (with or without)

If the patient suddenly develops an abnormal gait with numbness and weakness of the limbs, it is a precursor sign of cerebral infarction. A hobbling gait and weakness of the walking leg is one of the precursor symptoms of hemiplegia, as it is called by the common people.

2. One side of the face is numb or the corner of the mouth is crooked

If the patient complains of numbness in the face, or if the patient is observed to have asymmetrical and crooked corners of the mouth, this is also an early symptom of cerebral infarction.

3. Slurred speech or difficulty understanding language

Some patients suddenly realize that they are not speaking well anymore, now stuttering a bit or not being able to say what they want to say. This indicates that there has been a problem with the brain tissue that controls speech, and it is important to seek immediate medical attention at this time.

4. Gazing from both eyes to one side, or loss or blurring of vision in one or both eyes

It manifests as blurred vision, visual field defects, and incomplete seeing. Patients may show a sudden blackness in front of their eyes and then return to normal, which is also a precursor of cerebral infarction and should not be taken lightly.

5. Vertigo with vomiting

It is generally believed that headache and dizziness are mostly the aura of ischemic cerebral infarction, while severe headache with nausea and vomiting are mostly the aura of hemorrhagic cerebral infarction.

6. Sleepiness and drowsiness

This is a response to the lack of oxygen in the respiratory center, which is manifested by constant yawning. Patients suffering from ischemic cerebral infarction, 80% of the onset of 5 to 10 days before the onset of yawning phenomenon, with the aggravation of cerebral atherosclerosis, arterial lumen is more and more narrow, cerebral ischemia serious deterioration. Therefore, do not ignore this important alarm signal.

7. Sudden abnormalities in blood pressure

If the patient's blood pressure has usually been stable and suddenly appears to be elevated, it is possible that the cerebral blood vessels have become blocked, and this situation also requires vigilance.

If you find yourself or a close relative or friend with these symptoms, you should send the patient to a nearby hospital as soon as possible (which should include the ability to 24h emergency CT examination and thrombolytic conditions), remember that time is life, and the earlier the treatment, the better the patient's recovery will be.

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Often, some patients have the precursor of stroke at an early stage, but because of the family's inattention, they do not take it seriously and thus miss the best time for treatment.

First of all, the most common is a few consecutive days of frequent dizziness, this time are often thought to have no good rest, overworked. Of course, some of the above reasons, but there is no obvious other external causes, we should pay attention to, and dizziness, continued without relief, must go to the hospital for examination. If sudden dizziness, immediately sent to the hospital for treatment.

Sudden severe headache. With convulsive seizures, unconsciousness, disorganized speech, drowsiness, etc. Immediately to the hospital.

Sudden changes in walking gait, staggering, weakness of one side of the limb, falling, numbness of the limb, this time must be promptly sent to the hospital for treatment.

Sudden onset of tilting of the mouth and eyes, leakage of water from the corners of the mouth, salivation, slurred speech and unfavorable articulation need to be sent to the hospital immediately.

The patient's recent lack of mental clarity and yawning is usually a sign of an ischemic stroke.

There is also the abnormal blood pressure, a sudden and sharp increase, which is likely to be a precursor of a cerebral infarction at this time. There are also nosebleeds that occur several times in a short period of time and in large amounts, which are likely to be cerebral infarction.

As long as careful observation, generally will find some details of the change, so usually to do a good job of prevention, not only the elderly, now the stroke has a trend of rejuvenation, stay up late and work overtime often become the main culprits of young people suffering from cerebrovascular disease.

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First Sign: Often feel numbness or lack of strength on one side of the body.This is because at this time of the year, the blood in the veins has no way of being replenished to the various organs because it cannot circulate smoothly due to the waste present in the veins. At this time, the places that have no way to be replenished will have a numbness because the blood cannot reach them. If this phenomenon occurs frequently, it is very likely that there is a disease in the brain.The second sign: when people have numbness in their face and a crooked mouth.It is also necessary to be alert to the possibility of cerebrovascular and cerebral thrombosis and cerebral infarction. The cells and nerves in the face are directly affected by the brain, and when people feel unable to control their facial expressions, feel numbness in the face and are unable to control their mouths, it is likely that there is a problem with the brain. At this time, other problems may be triggered, such as stroke and facial paralysis.The third sign: unorganized speech and reduced ability to express yourself.At the same time, when people feel that their words are not clear and they appear to be speaking with a big tongue, as well as when they can't concentrate on communicating with other people and can't understand what they are saying, it's because their brain is no longer able to control their behavior and language.

Fourth sign: blurred vision.Advances in technology also increase the likelihood that people will get brain problems, and when people often feel that their eyes don't see things very clearly, and they often see things with double vision, there's a good chance that you have a problem with your brain. The eyeballs need blood from the brain for oxygenation, and when garbage in the blood vessels prevents the blood from circulating and reaching the eyes, it can cause the eyes to appear to be unable to see clearly.

In your daily life, you should do more outdoor exercise and don't always keep your head down and play with your cell phone, which is not only bad for your body, but also makes you get brain diseases.

　　This question is answered by Zhou Zhongqing of Sanbo Brain Hospital of Capital Medical University, looking forward to your attention~

　　Our body's blood vessels like water pipes, after a long time to use the inner wall of the pipe will appear scaling, rust, slowly lead to pipeline obstruction, can not be used normally. When the blood vessels are blocked, corresponding symptoms will appear, and the most prone to problems is our cardiovascular and cerebrovascular, when the cerebral blood vessels are blocked corresponding to the blood vessels supplied by the brain tissue will be ischemia, lack of oxygen, and finally lead to cerebral infarction, necrosis of the brain tissue, the neural function of the site will be lost, the patient may be hemiplegia, impaired consciousness, sensory impairment, and in severe cases, may also be coma or even life-threatening.

　　Generally, before the onset of cerebral infarction, our body will show corresponding symptoms and signals, but they are not always obvious, and sometimes the onset of a moment and will be quickly relieved, resulting in often overlooked, the following is a brief introduction to the common symptoms.

　　1. Unexplained dizziness while feeling a little numbness in the hands and face

　　2. Sometimes it feels like the foot won't walk, and leans to one side

　　3. Sudden severe headache

　　4. Feeling difficulty in speaking, slurred speech or weakness in favor of the body for a short period of time

　　5. Transient visual impairment, etc.

　　6. Unexplained personality changes, memory loss or movement disorders

　　Capital Medical University Sanbo Brain Hospital is a Wukong Q&A contracted organization, this article is an original article, first published in today's headlines Wukong Q&A, pictures from the network, not for commercial use! (Disclaimer: The content of this article is for reference only, and does not serve as a basis for diagnosis, medication and use, and cannot replace the diagnosis, treatment and recommendations of doctors and other medical personnel.)

There are 5 major signs of blocked blood vessels in the brain! If you are over the age of 35, you can start to look out for them!

1. Sudden vertigo

In the case of cerebral blood vessel blockage, some people may experience sudden dizziness, feel like the sky is spinning, or even faint on the ground because they can't stand still. They may recover after a few seconds, but if the symptoms become more frequent, they need to be taken seriously!

2. Persistent headaches

Headaches are, in fact, a very common symptom. There are also very many causes of headaches. If you have an occasional headache that gets better after resting, it usually doesn't matter. In contrast, headaches with cerebrovascular blockage may change from intermittent in the early stages to persistent, and may even be accompanied by a bout of nausea.

3. Numbness or weakness of the limbs

Numbness or weakness in the limbs is actually a problem with the brain tissue that controls movement and sensation in the body. If it appears that you are clearly holding an object in your hand, but suddenly drop it, or suddenly find that you have no strength in one leg when walking. This is an indication that a problem has developed. There are also many people who do not find out themselves, but their family members find that he walks a little unnatural, and go to the hospital to check and find out the blockage of the cerebral blood vessels.

4. Sudden lack of clarity of speech

There is another situation, some middle-aged and elderly people, suddenly found that their speech is not fluent, the original does not stutter, and now suddenly speak some stuttering, or want to say the words can not be said. This indicates that the brain tissue controlling language has problems, this is not a sleep can be good problems, must immediately seek medical attention!

5. Darkness before the eyes

Patients can present with a sudden blackout before their eyes and then return to normal. This indicates spasm and blockage of cerebral blood vessels. It is also called transient ischemic attack, which is a precursor of cerebral infarction. It should not be taken lightly!

In fact, many patients with cerebrovascular blockage do not notice it themselves and are often discovered by their family members!

If you remember the above 5 signals, you may want to forward them to the elderly at home, or help them to keep an eye on them. It is important to know that cerebral infarction is treated very well in the early stage, but if it takes more than 1 day to be detected, basically, the treatment effect is worlds apart.

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