The article was consulted professionally by Dr. Ton That Tri Dung – Head of Medical Examination and Internal Medicine Department – Medical Examination and Internal Medicine Department – Share99 Da Nang International Hospital
Some strokes will cause severe brain edema for patients. Therefore, people with a history of stroke or diseases that can cause stroke must be extremely wary of complications of cerebral edema after a stroke
The majority of small strokes will not cause significant cerebral edema, but if the stroke is severe it will cause severe cerebral edema. Cerebral edema depends on the cause that can occur in a particular duck or throughout the brain. Cerebral edema occurs that increases inalranial pressure, and this pressure will prevent blood flow to the brain, losing the amount of oxygen needed to function. In addition, cerebral edema prevents the retocularity from leaving the brain, when the brain will aggravate the brain edema. As a result, it causes brain cell damage and death.
Therefore, post-stroke brain edema should be detected as soon as a worsening neurological development is manifested. Measures used include medical treatment, active resuscitation or surgery depending on the condition and danger of a previous stroke, as well as brain edema diagnosed immediately after a stroke. The leading principle of treatment for tinging post-stroke brain edema is to avoid permanent brain stalk damage due to pressure
1. Some forms of stroke cause cerebral edema
Patients present clinically such as he/shem paralysis, complete loss of language, expressiveness, dysysmia, market dysfunction. The most specific sign of significant cerebral edema after a stroke is a decrease in consciousness levels due to visual edema, the brain stalk. Most patients experience neurological failure within 72-96 hours after a stroke.
Stroke of the cerebral palsy
This type of stroke is difficult to diagnose with dizziness, dizziness, vomiting, attention should be paid to speech, gaiting, coordination of movement and eye movement to be able to diagnose. In this case, patients often suffer from post-infarction cerebral edema that leads to compression of the cerebral meninges, a primary hydrocephalus due to obstruction of the ivthinal brain or both. Clinical symptoms of cerebral edema after a stroke are decreased consciousness, decreased awakening, paralysis of the eyeball, arrhythmias, arrhythmias.
Patients with some neurological changes such as worsening a defect or sudden decrease, quickly have a new displacement block.
2. Diagnosis of post-stroke cerebral edema
In order to diagnose patients at high risk of cerebral infarction, cerebral edema needs to be performed using clinical data, including embol embolitis. Imaging diagnoses are applied to increase the effectiveness of diagnosing the risk of post-stroke cerebral edema. Specifically:
- Non-photocular CT scan: The top option is useful for diagnosing and monitoring NB with cerebral edema caused by a hemisphere or subencephata infarction. The next CT scan in the first 2 days is useful to identify NB at high risk of developing edema symptoms.
- The first 6-hour CT scan has a decrease in density, NM≥ 1/3 MCA drive area, and a mid-line deviation is a useful marker in predicting brain edema.
- Measuring the volume of MRI DWI in 6 hours is useful; if V>80ml predicts progress will be very fast
3. Treatment of cerebral edema after a stroke
Patients may receive osmosis therapy in case of worsening stroke, which is at risk of cerebral vascular edema. Patients should also have their skulls opened for NB <60 tuổi bị nhồi máu MCA có diễn biến xấu đi trong vòng 48h mặc dù điều trị nội khoa tối đa. The effectiveness of the then pressure is unknown but should be strongly considered. At the same time, it is recommended to open the skull under the occipital in patients with cerebral infarction with worsening neurological development despite maximum medical treatment. The doctor in dinh should be based on the standard prescribed open skull pressure through impaired consciousness and the area of the brain is suitable to bring maximum therapeutic effect to the patient.
Share99 International Health Hub with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in neuropathic examination and treatment, patients can be assured of examination and treatment of neurological diseases in general and brain edema after stroke in particular at Share99.
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