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Abstract: The patient, who has been engaged in network IT work for a long time, recently felt incompetent, unresponsive, easily forgetful, irritable and irritable, and perfected cranial magnetic resonance examination, which suggested cerebral ischemia with mild arteriosclerosis. The patient was given medication, combined with life conditioning, and the symptoms of unresponsiveness, forgetfulness, irritability and irritability were significantly relieved.
Basic information】Female, 30 years old
Disease Type】Cerebral ischemia
Hospital】Shandong Provincial Third Hospital
Date of consultation】August 2020
Treatment plan】Medication (Ginkgo biloba extract injection, sodium cytophosphatidylcholine capsule) + life conditioning
【Treatment Period】Reviewed after 1 month of outpatient treatment
Treatment effect】Significant relief of symptoms such as unresponsiveness, forgetfulness, irritability, etc.
I. Initial consultation
The patient has been engaged in network IT work for a long time. Recently, he felt incompetent, unresponsive, forgetful, irritable and irritable at work. Initially, the possibility of cerebral blood supply deficiency was considered, and cranial magnetic resonance examination was completed, suggesting cerebral ischemia. Further improve the screening of high-risk factors for cerebrovascular disease, draw blood for blood glucose, blood lipid, liver and kidney function, blood routine, etc. Improve the intracerebral vascular examination, suggesting mild atherosclerosis. Transcranial Doppler suggested increased blood flow velocity, and the preliminary diagnosis of cerebral ischemia was made in the outpatient clinic.
II. Treatment history
The patient’s outpatient clinic was perfected for cerebrovascular disease-related examinations, and no obvious high-risk factors were seen. Transcranial Doppler suggested increased blood flow velocity, and cerebral vasospasm was considered to exist. Therefore, Ginkgo biloba extract injection and cytarabine sodium capsule were given to improve circulation and nourish brain cells. At the same time, the patient was advised to carry out life conditioning, ensure 8-10 hours of sleep daily, pay attention to the combination of work and rest, and increase physical exercise. 1 month later, the patient’s symptoms of decreased brain function were relieved, and he was advised to continue to maintain.
III. Treatment effect
The patient did not show any significant abnormality in the screening of high-risk factors for cerebrovascular disease at the outpatient clinic. The imaging changes of cerebral ischemia could not be improved by treatment, but the symptoms of cerebral ischemia could be recovered by medication and life diet guidance. The patient’s outpatient follow-up after 1 month indicated that symptoms such as unresponsiveness, forgetfulness, irritability and irritability were significantly relieved.
IV. Notes
We are glad that the patient’s symptoms are relieved after treatment. Patients should develop good living habits in general, ensure enough sleep, 8-10 hours of sleep daily, and avoid high-intensity mental work. At the same time, enhance physical exercise to promote blood circulation throughout the body, as well as a balanced diet. Cerebral ischemia is not considered serious, but it should be taken seriously to avoid aggravation of the disease. After discharge from the hospital, patients should focus on whether there are symptoms such as dizziness, slurred speech and lack of limb movement, and they should take their medication on time and follow up with the neurology department regularly.
V. Personal insight
Cerebral ischemia is an ischemic change of brain cells caused by decreased cerebral perfusion and impaired blood circulation, which can be clearly diagnosed by imaging examination. It is generally associated with age, gender, hypertension, diabetes, dyslipidemia, etc. In recent years, cerebral ischemia is becoming younger and younger, and it may even appear among teenagers. It is more important to have good rest and reasonable work and study arrangements, and once the symptoms of brain function decline appear, you should actively go to the hospital to avoid aggravation.