How to treat cerebral thrombosis, stroke, and hemiplegia

Jul 25, 2024 Source: Cainiu Health
Disease description:

A senior family member suddenly experienced stroke symptoms. After examination, it was determined to be a stroke caused by a cerebral thrombosis. Could you please explain how this condition is treated?

Doctor's answer (1)
Dr. Huang Shichang
The main treatments for stroke-induced hemiplegia caused by cerebral thrombosis include: 1. **Acute-phase treatment**: For patients in the acute phase, thrombolytic therapy (e.g., using alteplase) can restore cerebral blood circulation within a specific time window. Medications such as recombinant tissue plasminogen activator (rt-PA) can dissolve blood clots but must be administered shortly after symptom onset, usually within 4.5 hours. 2. **Medication therapy**: Under a physician's guidance, patients may take antiplatelet medications such as enteric-coated aspirin tablets or clopidogrel bisulfate tablets to prevent thrombus formation. Additionally, medications like atorvastatin calcium tablets and rosuvastatin calcium tablets can lower blood lipid levels and stabilize atherosclerotic plaques. 3. **Rehabilitation therapy**: Acupuncture, for example, can improve blood circulation and neurological function by stimulating specific acupoints and is commonly used for functional recovery of hemiplegic limbs. Meanwhile, patients should actively engage in functional exercises and rehabilitation therapy to promote functional recovery. 4. **Surgical treatment**: If the condition is severe, surgical intervention may be necessary, such as carotid endarterectomy.