Patient: Description of the condition (time of onset, main symptoms, hospital visited, etc.): The patient is male, 57 years old and has been in good health. This condition, paroxysmal dizziness with severe vomiting, was found to be 2 months old. Magnetic resonance examination at the local hospital showed that multiple speckle-like, long t1 and long t2 signal shadows were seen in the bilateral basal ganglia area, the size and shape of the ventricular system was acceptable, the midline structure was centered, and abnormal signals were seen in the bilateral septal sinuses. Can you give some treatment suggestions Wei Lin, Department of Neurosurgery, Shandong Qianfo Mountain Hospital
Wei Lin, Department of Neurosurgery, Shandong Qianfo Mountain Hospital.
As we all know, cerebrovascular disease has now become one of the three major killers affecting human health at present. The common risk factors are first and foremost hypertension, followed by hyperglycemia, hyperlipidemia, hyperviscosity, obesity, long-term smoking and drinking, and little exercise, etc. Unfortunately, you now have hypertension and diabetes, and it is not surprising that this causes insufficient blood supply to the brain. I see that you also went to many hospitals for treatment and took a lot of medicine, you should be clear that this disease is not solved by simply taking medicine, you have to change yourself from your own eating habits, exercise habits, work and rest patterns, etc. At the same time you also have to do a neck and intracranial angiography to see if there is a narrowing of the blood vessels, if the narrowing is serious, we have to consider surgery, which can not be completed by drug treatment.
For cerebral blood supply deficiency, if you do not pay attention to active treatment can cause serious consequences. It is reported that about 1/2 to 3/4 of patients with transient ischemic attack (TIA) develop cerebral infarction within 2-3 years, and 79.6% of patients can terminate transient ischemic attack or reduce the attack after treatment, and only 20.38% of patients can stop the attack automatically without treatment. Therefore, whenever I meet some patients and friends who had transient ischemic attacks, they were actively treated for transient ischemic attacks at that time, and the treatment effect was also very good, and the patients recovered very satisfactorily, but unfortunately, because they did not understand the pathogenesis of cerebrovascular disease and preventive measures, more serious cerebrovascular attacks occurred 2-3 years later, and even endangered their lives. It is very sad and regrettable for us doctors that most of these cases can be prevented. We can stop and reduce transient cerebral ischemic attacks and prevent or postpone the occurrence of cerebral infarction through a series of measures such as public education to prevent cerebrovascular disease, adjusting diet structure, strengthening appropriate exercise, reducing blood viscosity, adjusting blood hypercoagulability, and controlling and maintaining blood pressure within normal range. If you have any questions, please feel free to contact me for consultation, or you can come to the clinic on Friday to see me in person for consultation