Cerebrovascular disease refers to various diseases of the blood vessels in the brain, including cerebral atherosclerosis, thrombosis, stenosis, occlusion, cerebral arteritis, cerebral artery injury, cerebral aneurysm, intracranial vascular malformation, cerebral arteriovenous fistula, etc. The common feature is to cause ischemic or hemorrhagic accidents in brain tissue, resulting in disability or death of patients, and the incidence accounts for 1/4 to 1/2 of the total neurological hospitalization cases. One of the misconceptions: Stroke cannot be prevented In fact, stroke can be prevented by eating right, paying attention to lowering blood pressure, and taking a variety of activities that are beneficial to health. The fact that the incidence of stroke has declined recently also fully demonstrates that stroke can be prevented. There is no doubt that the decline in mortality among stroke patients is related to the recent emphasis on stroke prevention. There is a growing understanding of how to reduce or eliminate risk factors for stroke, such as aggressive treatment of hypertension, prevention of obesity, reduction of cholesterol intake, and prohibition of smoking. Controlling and removing risk factors can certainly prevent the occurrence of cerebrovascular disease. Myth No. 2: Young and middle-aged people do not need to worry about having a stroke In people’s impression, cerebrovascular disease is closely related to the elderly, and young and middle-aged people do not need to worry about it. Such a perception is extremely absurd. If a young person has severe hypertension, he or she will have a stroke as well. In our clinical practice, if we do not pay attention to prevention during the middle-aged and young people, stroke can also occur. According to clinical data, the vast majority of stroke patients develop before the age of 60. In recent years, there is a tendency for the onset of cerebrovascular disease to become younger and younger, and the reasons for this are many. 2003, a survey conducted by the BNC Cerebrovascular Disease Collaborative Group in 38 hospitals nationwide showed that stroke in the age of 18-45 accounted for 9.77% of all stroke cases, of which ischemic stroke accounted for 63.6%. The most common cause is early atherosclerosis, and the most common risk factors are hypertension, hyperlipidemia, smoking, and family history of stroke. Therefore, young people should not be careless and paralyzed. Myth No. 3: Stroke prediction Since cerebrovascular disease is such a terrible disease, it is reasonable to imagine whether there can be a way to predict or forecast whether a person will have cerebrovascular disease. In our country, a variety of stroke predictors were produced some years ago. However, it was soon discovered that some people who were judged to be “safe” by the forecaster soon developed hemiplegia; others who were normal were labeled “dangerous” and were in fear for their lives. So can cerebrovascular disease be predicted? In 1990, a national conference on cerebrovascular disease was held in Luoyang, and the experts agreed that the popular stroke forecasters at that time should be abandoned. One was to test the blood rheology, input the data into the computer, and draw conclusions. The other was based on finger pulse meters or microcirculation measurements. There were no real experts in cerebrovascular disease among those who invented such instruments, and the principles of these instruments overemphasized the one-sided and non-major risk factors for vascular disease, and therefore misled people. Although short-term predictions of cerebrovascular disease cannot be made with current technology, long-term predictions can be made based on knowledge of risk factors. This prediction is not a complete knowledge that a person will or will not develop cerebrovascular disease; it can tell you the chance of developing cerebrovascular disease within 10 years, and the chance of this risk decreasing when the risk factors are controlled and treated. Myth #4: Stroke patients are unlikely to recover completely This perception is false. In fact, only 15% of stroke patients experience severe disability, and these patients may permanently lose their ability to speak or become hemiplegic or bedridden. About 2/3 of patients who have a stroke each year survive and 1/3 recover to near normal levels before the onset of the stroke. About half of the stroke patients still have speech impairment and partial hemiparesis after acute treatment, but many patients recover with appropriate treatment. If you have a stroke, you must have strong confidence and be actively treated. Myth No. 5: A person who has had a stroke will not have another stroke This is not true, and a patient who has had a stroke has a high chance of having a second stroke. For cerebral infarction, if you don’t pay attention to prevention after getting it, the chance of having a second stroke within 5 years is 1/3, but for most patients, you can prevent stroke from happening again by taking medication and changing your lifestyle. Myth No. 6: Regular infusion of blood vessel unblocking drugs can prevent cerebrovascular disease Many outpatients ask for regular infusion of blood vessel unblocking drugs, such as salvia, haemosiderin, pulsatilla, etc., thinking that this can prevent cerebrovascular disease without worry. In fact, this is not justified, there are many factors in the development of cerebrovascular disease, prevention depends on a comprehensive approach, relying on one or two drugs alone can never prevent cerebrovascular disease, and this treatment is used intermittently, there is no such panacea. Myth No. 7: Blood pressure must be lowered after suffering from cerebrovascular disease Many patients often tell us when they visit the doctor that the local doctor has already treated me, taking a certain antihypertensive drug, etc. This is very unfavorable. This is very unfavorable. Because many people with stroke have elevated blood pressure due to stress or other reasons, applying antihypertensive drugs when they do not exceed the criteria for elevated blood pressure of the cerebrovascular disease guidelines is instead harmful. Myth No. 8: Irregular exercise for patients with motor paralysis Many stroke patients with hemiplegia can be seen in hospitals, communities and families, doing flexion and pulling strength training with the affected upper limb, or even forcing to walk with a rope for lower limb paralysis, which are very harmful exercise methods. Such exercise strengthens the pathological movement pattern, easily leading to the aggravation of dysfunction, which is not conducive to the recovery of the disease.