Multiple lacunar cerebral infarcts in the bilateral basal ganglia region of the brainstem are mainly treated with general therapy, thrombolysis, antiplatelet therapy such as aspirin, and neuroprotective therapy such as cytarabine.
1. General treatment: lacunar cerebral infarction needs to keep the airway open, and actively control blood pressure and blood sugar, and can use mannitol, furosemide and other diuretic. If dysphagia occurs, it is necessary to use nasal feeding tube to establish nutritional pathway to prevent aspiration pneumonia. At the same time, if the secondary infection fever patients, can use ceftriaxone and other anti-inflammatory symptomatic treatment.
2. Thrombolytic therapy: this is the most important treatment for multiple lacunar cerebral infarcts in the bilateral basal ganglia region of the brainstem, and streptokinase can be used. It is currently believed that thrombolytic therapy, preferably within six hours.
3. Antiplatelet therapy: you can use aspirin, clopidogrel and other drugs for antiplatelet therapy.
4. Anticoagulation therapy: low molecular heparin and warfarin can be used appropriately, and the coagulation situation can be closely monitored. At present, immediate anticoagulation is not recommended for acute infarction, and anticoagulation is generally not performed within 24 hours after thrombolysis.
5. Neuroprotective therapy: cytarabine and other protective nerve cells can be used, which can play a certain therapeutic role.
Multiple lacunar cerebral infarcts in the bilateral basal ganglia region of the brainstem need to be closely observed and actively cooperate with the doctor in treatment and medication in order to get the best prognosis due to the more sensitive site of occurrence.