How is cerebral infarction treated?

Aug 29, 2024 Source: Cainiu Health
Disease description:

Recently, I started experiencing headaches and dizziness. Later, after going to the hospital for a checkup, the doctor diagnosed it as cerebral infarction. I'm not sure how this condition should be treated. Doctor, how is cerebral infarction treated?

Doctor's answer (1)
Dr. Lv Zhiqin

Cerebral infarction, also known as ischemic stroke, is primarily treated through the following approaches:

1. Thrombolytic therapy: Within 4.5 hours after symptom onset, thrombolytic medications can dissolve blood clots and restore cerebral blood flow. This is one of the preferred treatments for acute cerebral infarction.

2. Mechanical thrombectomy: For large vessel occlusions, especially when thrombolytic therapy is ineffective or contraindicated, devices can be delivered via catheter into the blood vessel to remove the clot directly. This procedure is called mechanical thrombectomy or endovascular treatment.

3. Anticoagulant and antiplatelet therapy: To prevent new clot formation and reduce the risk of recurrence. Commonly used medications include antiplatelet agents such as aspirin and clopidogrel, as well as anticoagulants such as warfarin and dabigatran.

4. Blood pressure management: Controlling hypertension to avoid excessively high or low blood pressure, thereby stabilizing cerebral blood flow.

5. Glucose management: Maintaining blood glucose levels within the normal range to prevent further damage to brain cells caused by hyperglycemia.

It is recommended to visit a qualified hospital and undergo treatment under the guidance of a specialist.