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Abstract: A 16-year-old boy, due to stress and tension in study, recently developed recurrent dizziness, tightness of the scalp, and in severe cases, nausea, and his study was in a state of decline, his parents were very anxious and brought him to the hospital for examination, and cranial magnetic resonance examination suggested infarction. The patient’s condition was stabilized and the dizziness was relieved after treatment with drugs to improve brain metabolism and nourish brain cells, considering the possibility of ischemia and necrosis of brain cells caused by small blood vessel spasm due to the patient’s prolonged staying up late and exertion.
Basic information】Male, 16 years old
Disease Type】Infarction
Hospital】Shandong Provincial Third Hospital
Date of consultation】May 2021
Treatment plan】Medication (Ginkgo biloba extract tablets + cytophosphatidylcholine sodium capsules + betahistine hydrochloride tablets) + health education + physical exercise
Treatment period】Outpatient treatment for 2 weeks, followed up by telephone after 1 month
Treatment effect】Stable condition, no special discomfort
I. Initial consultation
The parents complained that the patient had recently experienced a decline in learning, dizziness, and memory loss, and were particularly worried about this. The parents expressed understanding and actively cooperated with the examination. The cranial magnetic resonance examination suggested infarction, but the infarction foci were small.
II. Treatment history
The patient did not see any abnormality after perfecting blood routine, liver and kidney function, ion, lipid and blood glucose tests, sleeping with obvious abnormality in dynamic electrocardiogram, negative foam test, and normal carotid ultrasound. Considering that there are no high-risk factors at present, combined with the usual state of exertion of studying and staying up late for a long time, the possibility of infarction caused by spasm occlusion of small blood vessels in the brain is considered high. He should be given health education to ensure 8 hours of sleep every day, 10 minutes of rest for every hour of study, 30 minutes of physical exercise every day, and pay attention to nutrition to enhance physical fitness, and treatment to improve circulation with Ginkgo biloba extract tablets and improve brain cell metabolism with cytarabine sodium capsules.
Treatment effect
After the treatment of Ginkgo biloba extract tablets to improve circulation and cytophosphatidylcholine sodium capsule to improve brain cell metabolism, and the addition of betahistine hydrochloride tablets to stop dizziness, the dizziness symptoms also improved. 1 week later, there was no obvious dizziness in the outpatient follow-up, the mental state was better than before, and the study state was also better than before, and the patient was advised to continue taking the medicine for 1 week and then stop. The patient was advised to continue to take the drug for 1 week and then stop taking it. He continued to develop good habits and was followed up by telephone 1 month later with no special symptoms.
IV. Notes
I am glad that after the drug treatment, the patient’s symptoms have improved and the indicators are regressing. During the treatment period, medication should be administered on time and should not be stopped blindly. If there is any discomfort during the treatment period, such as dizziness, headache, poor sleep, memory loss, etc., further consultation should be made to the hospital to give adjustment of medication. Usually, you should develop good habits of life and rest, do not go to bed later than 11 pm at the latest, and ensure the daily amount of sleep, usually 8-10 hours. Increase physical exercise every day, mainly aerobic exercise, 30-60 minutes a day is appropriate, usually pay attention to a balanced diet and supplement nutrition.
V. Personal insight
Children’s study pressure is very high, sometimes more than a normal adult brain work, if the same as the patient appears intracerebral symptoms, such as dizziness, memory loss, slow reactions, etc. should cause attention. Learning is important, but the body is equally important. If there is a decline in brain function, it will affect the learning effect instead. It is important to ensure good rest and rest and enhance physical fitness to promote learning enhancement. Doctors should also provide psychological communication and health guidance to parents and patients along with drug treatment.