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Cerebral thrombosis

2017-08-05

Cerebral thrombosis in the brain atherosclerotic plaque based on the slow blood flow, low blood pressure conditions, the visible components of blood attached to the arterial formation of blood vessels thrombosis and disease. Clinical hemiplegia as the main clinical manifestations. More than 50 years old, men are slightly more than women. The disease in Chinese medicine is still a "stroke" category.

Clinical manifestations:

What are the clinical manifestations of cerebral thrombosis:

(1) the age of onset of the disease is generally slightly higher than the age of onset of cerebral hemorrhage, mostly in the 55 to 65 years of age in the elderly; and men than women.

(2) cerebral thrombosis in the quiet state of the disease, such as sleep, and in anxious or night to the toilet when found half-body failure or hemiplegia. Slow onset, gradually increased is its very important features.

(3) after the onset of more conscious, unconscious disorder.

(4) According to the different parts of the vascular occlusion, clinical manifestations are also different. Such as hemiplegia, sensory disturbance or aphasia as the main symptoms; occurred in the vertebral - basilar artery thrombosis, more common dizziness, nausea, vomiting, diplopia, cross-movement And sensory disturbances, dysarthria, difficulty swallowing, drinking water and other symptoms.

(5) cerebral thrombosis patients with multiple history of transient ischemic attack, as well as hypertension, cerebral arteriosclerosis, hyperlipidemia, diabetes and other medical history.

(6) the mortality rate of the disease than other cerebrovascular disease is low, but a large area of infarction caused by neurological dysfunction is not easy to recover, often leaving more serious sequelae.

Clinical examination:

1. CT / MRI scan: the infarcted area of vascular distribution of reduced absorption of low-density areas.

2. Hemorheology: increased blood viscosity, increased platelet aggregation, increased thrombosis in vitro.

3. EEG: asymmetry on both sides, the lesion was slow wave and low amplitude and slow α rhythm.

4. Cerebral angiography: showing arterial stenosis, occlusion and abnormal blood vessels around the lesion.

Diagnostic points:

(1) often in a quiet state of the disease.

(2) most of the onset of no obvious headache and vomiting.

(3) the incidence of more slowly, and more progress or progressively carried out, and more associated with cerebral atherosclerosis, can also be seen in arteritis, blood disease.

(4) generally within 1 to 2 days after the onset of awareness or mild disorder

(5) symptoms and signs of the internal carotid artery and / or vertebral-basilar artery system.

(6) head CT, scan and MRI visible infarct.

(7) lumbar puncture cerebrospinal fluid should generally not contain blood.


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