Vertigo after cerebral infarction is mainly related to central vertigo.
Cerebral infarction, a common cerebrovascular disease, causes localized ischemia and hypoxic necrosis of brain tissues due to impaired blood circulation in the brain. Vertigo caused by cerebral infarction is mainly central vertigo, which can be produced when the infarction involves the vestibular nucleus or its connecting pathways and lasts for a long time.
The cerebellum and the brainstem are the central nervous system of the body, and both cerebral infarction can cause central vertigo when it occurs in the cerebellum and the brainstem. Patients may be accompanied by hemiparesis, numbness, slurred speech, vomiting, etc. Symptomatic or causative treatment is needed to address the associated lesions.
Commonly used medications include sedatives (phenobarbital), antihistamines (ipecac hydrochloride) and anticholinergics (scopolamine) to relieve the patient’s symptoms of vertigo.
After cerebral infarction with persistent and severe vertigo symptoms, one should go to the hospital in time to improve the relevant examination and symptomatic treatment, avoiding self-medication, and all medications should be used under the guidance of a doctor.