What are the manifestations of ischemic foci in the bilateral frontal lobes?

Sep 07, 2022 Source: Cainiu Health
Dr. Yang Jun
Introduction
Bilateral frontal lobe ischemic lesions may occur, leading to symptoms such as inattention and fatigue during daytime. Some patients may also experience emotional changes including irritability, easily provoked anger, or anxiety. Additionally, certain patients may develop significant headaches, which commonly occur in the bilateral frontal regions and present as intermittent episodes. As the extent of the bilateral frontal lobe ischemic lesions gradually expands, the headache tends to progressively worsen.

The manifestations of bilateral frontal lobe ischemic lesions include both mental and physical symptoms.

1. Mental Symptoms

Patients with bilateral frontal lobe ischemic lesions may experience poor mental status during the day, such as difficulty concentrating and fatigue. They may also suffer from明显 memory decline. At night, they might have trouble falling asleep, insomnia with vivid dreams, or frequent awakenings. Some patients may develop emotional changes such as irritability, anger, or anxiety. In severe cases, transient aphasia may occur.

2. Physical Symptoms

Some patients may develop significant headaches, typically located in the bilateral frontal regions, occurring intermittently. As the extent of ischemic lesions in the bilateral frontal lobes progressively expands, headache severity tends to increase. This is often accompanied by intense dizziness, frequent nausea, and vomiting. In severe cases, symptoms such as slurred speech and urinary or fecal incontinence may also appear.

Patients should consume more foods rich in vitamins and dietary fiber in daily life, while minimizing intake of high-cholesterol foods such as animal organs and eggs. Maintaining a balanced diet is beneficial for recovery.