Workup for Cerebral Infarction - Oren Zarif - Cerebral Infarction

The initial workup for cerebral infarction includes basic labs (complete blood count, coagulation factors, EKG, cardiac enzymes), and a stat non-contrast head CT. A CT scan of the head can be very useful in determining the cause of the infarction and can be used to rule out a hemorrhage or mass lesion. Vascular imaging is also useful for evaluating etiology of acute stroke. Vascular enhancement may be apparent early on, but is not present in 50% of strokes.

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Surgical treatment for cerebral infarction involves removal of the blockage. Surgical decompression with hemicraniectomy has been shown to significantly improve the patient's chances of survival over a placebo. It is also necessary to maintain systemic blood pressure in order to restore blood flow to the cerebrum. Anticonvulsants are typically prescribed as part of the treatment regimen. This therapy may not be a good option for patients with TIA, but it can be a viable option for preventing seizures.

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While the brain responds to ischemia quickly, many neurological symptoms persist even after treatment. These symptoms include swelling of the gray and white matter and petechial hemorrhages. These symptoms often occur as a result of cerebral embolism, which can rupture and reintroduce blood flow to the ischemic region. Hemorrhagic infarction is caused by leakage of blood through damaged blood vessels.

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The underlying pathophysiology of cerebrovascular disorders is unclear. The most common type of cerebral infarction is ischemic in nature, although some forms are categorized based on the size and location of the infarct. Symptoms are usually accompanied by subclinical to pleuritic chest pain, and may include hemoptysis, tachycardia, and hypoxia.

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Infarcts in the arteries may be caused by arterial occlusion, distended veins, or abnormal endothelium. Despite their common causes, cerebral infarction can be a sign of generalized hypotension. It may also occur when one of the cerebral arteries is damaged. Some of the most common causes of cerebral infarction are cardiovascular diseases, trauma, or ischemic stroke. There are many other causes of infarction.

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While there is a high risk of a cerebral infarction among young people, the exact mechanism responsible is not known. A recent study of a hospital-based registry found an association between vascular risk factors and the occurrence of cerebrovascular events in young adults. However, almost a third of first-time stroke cases were caused by no known cause. These findings emphasize the importance of assessing risk factors for primary prevention. In fact, preventing a stroke in young adults may prevent the disease altogether.

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The symptoms of cerebral infarction are dependent on which part of the brain is affected. For instance, infarction in the primary motor cortex affects muscles and the ability to control movement. The brainstem can also be affected and cause a syndrome called "brainstem syndrome". Symptoms may include numbness and weakness of the opposite side of the body. There may be abnormal pupil dilation or light reaction, as well as loss of eye movements. The speech of patients with a left-sided cerebral infarction is slurred and their reflexes may be aggravated.

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Some patients have multiple types of cerebrovascular infarction. One type is a cerebral infarct caused by cardiac embolism. Another type is called a watershed infarct and is associated with hemodynamic compromise. Cerebral ischemia is often associated with other risk factors for cerebrovascular disease. Although this condition is rare, it can be severe and can even lead to death. If you think you may be suffering from a cerebral infarction, it's important to seek help.

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Cerebral ischemia is a complication of cardiovascular disease, a type of heart attack that results in irreversible damage to brain tissue. Many stroke cases are caused by poor blood flow. Untreated heart attacks slow or stop the flow of blood in the brain. The blood clots block the cerebral vessels and damage brain tissue. The symptoms of a cerebral infarction will depend on the cause of the ischemia.

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A clot may be caused by a fatty plaque in the heart called atheroma. These plaques are likely to break off and travel to the brain. This type of cerebral embolism is also a consequence of a clot forming in the heart. Another type of embolism is caused by the heart's heart valves. In both cases, the clot may travel through the heart and enter the brain.

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There are a number of other factors that influence the risk of having a stroke. One of these factors is a family history of stroke. There are many risk factors for stroke in young adults. Hypertension and high cholesterol are two of the most common. If you have any of these factors, you should consult your doctor immediately. If you're at risk for a stroke, you should take precautions to prevent it. This way, you'll have the best chance of avoiding stroke.