7 types of signs of suspicion of cerebrovascular disease that suddenly takes | News / Column | Health stories



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Acute cerebral infarction refers to a sudden blockage of the blood vessels supplying the brain. The clogging of the blood vessels is due to clots.
Mainly. The atherosclerotic blood vessels or blood clots of the heart move towards the blood vessels that go to the brain.
If the blood supply is completely blocked, the brain cell will die in a few minutes and will not survive if the blood supply is reopened by the blocked blood vessels.
Let's see how to prevent and treat cerebrovascular disease with Professor Park Jung-jin of Konkuk University Hospital.

AVC

Save your brain cells as soon as possible, as they pbad through clogged blood vessels and when blood supply is restored smoothly,
The goal of treatment is to conserve brain cells to maximize brain function.

If you are watching the television health program or doing an internet search, 3 hours of acute stroke are a golden time and you should be treated during this time.
You can see the promotion. This means that after treatment, the average result of treatment of patients successfully returned to the hospital within 3 hours and successfully infused with blood vessels
It's better than the patients who were treated after 3 hours, but that does not mean that the results are better within 3 hours and worse after that.

Since the distribution and circulation of blood vessels are different for each person, the time that the brain can endure with the help of peripheral blood vessels can vary from person to person. So at the hospital
A person who has already been saved early and has reopened blocked blood vessels within 30 minutes, but whose brain tissue is dying and the complications of cerebral hemorrhage
In addition, people who delayed treatment because of such and such circumstance and opened it in a few hours, but many functions of brain tissue are restored and complications do not occur.
.

Consider the extent and extent of brain damage
Cerebrovascular disease, should save brain cells as soon as possible
The thrombus that causes acute cerebral infarction is usually a soft gel, unlike hard arterial stenosis, so that it can be removed using various methods.
. In the past, many attempts to dissolve thrombosis with drugs have caused many cerebral hemorrhages due to complications. Recently, many good tools have been developed.
It was possible to remove the clot without using medication.

Haemorrhage occurs when blood is circulating again in areas where there are many dead brain cells. It's worse than if you leave it alone. death
As the amount and extent of brain cells are proportional to the time elapsed since the clogged view, depending on the time elapsed since the onset of symptoms,
The results are different.

In the early days, when the blood vessels are clogged, it is necessary to try to remove the blood clots that block the blood vessels and reopen the blood vessels.
An increase in intracranial pressure caused by intracerebral hemorrhage should be able to control additional brain damage or life-threatening situations.
Therefore, rather than just using time as a reference, the patient's condition at the time of arrival at the hospital, the extent and extent of brain damage seen by the scanner or MRI,
It is good to choose the treatment method according to the situation.

Prevention and diagnosis of cerebrovascular disease
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Brain damage due to cerebrovascular disease is not completely cured even after treatment. Therefore, in order to know in advance the risk factors for cerebrovascular disease,
Prevention is very important.
Risk factors for cerebrovascular disease include age, race, gender, family history, and other uncontrollable factors, such as hypertension, heart disease, diabetes, smoking ,
It can be divided into those that can be controlled. The elimination or modification of controllable risk factors significantly reduces mortality and sequelae of cerebrovascular disease outbreaks
Can be lowered.

Typical tests for the diagnosis of cerebrovascular disease include computed tomography, magnetic resonance imaging (MRI) and cerebral angiography (TFCA).
Since most hospitals are equipped with a scanner, the cost of examination is low and the time required for imaging in minutes. The scanner can then be used to distinguish a cerebral infarction from a cerebral hemorrhage.
I use it a lot. However, since there are not many images to obtain and the resolution is low, it is suitable for the early detection of cerebrovascular disease.
This is not it.

Computer-badisted tomography angiography involves injecting a contrast agent, taking detailed images, reconstructing images on a computer,
It is useful for the diagnosis of cerebral aneurysm or carotid stenosis. MRI has the disadvantage of lasting longer and costing more than CT.
It is very useful for the early diagnosis of various diseases of the brain, such as brain tumors, degenerative brain diseases and cerebrovascular diseases because it allows to obtain a large image of the brain.
This is a test method. The ARM, visible only by selecting blood vessels like CTA, has the advantage of obtaining images without the use of contrast agent.

Percutaneous angiography (TFCA, etc.) is the most accurate method for diagnosing cerebrovascular disease and determining hemodynamic changes.
This is a test method. These tests are not only used for diagnosis, but also for various purposes such as establishing a surgical plan, the observation of regular follow-up after surgery
As it is used, one or more tests can be done several times. It is also possible to look for and treat cerebrovascular diseases usually hidden during screenings.
However, it is very important to minimize the consequences by going to the hospital and following a treatment without wasting time, knowing quickly when the disease develops.

Symptoms Possible Symptoms of Cerebrovascular Disease
1. Suddenly, a member no longer has strength, weakness, or sense.
2. I can not suddenly speak or understand what I'm saying.
3. The pronunciation is obscure when you speak.
4. He is severely disturbed by nausea.
5. When you walk, you are like a drunk person.
6. Suddenly, one side is blurry or one eye is not visible.
7. Suddenly, there is a severe headache.

* If you have a severe headache, you can be transferred to the hospital fairly quickly, but if you have mild or obscure symptoms,
There is a lot of delay ahead.

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