Causes and treatment process of cerebral infarction - dementia can occur as a sequela of cerebral infarction

I have an experience where my mother collapsed and was taken to the emergency room. At that time, the diagnosis was cerebral infarction.

Ischemic stroke can only prevent brain cell death if thrombolytic therapy is administered or a procedure is performed within 4.5 hours.

The most important treatment is the intravenous administration of thrombolytic agents to dissolve blood clots, which involves injecting medication to unblock the blocked blood vessels.

 

 

You mentioned that there are patients who cannot receive injections, so I checked online and found that there are patients who cannot be administered as shown below.

 

[Treatment]

※[Patients ineligible for thrombolytic therapy]

 

Patients who are at risk of bleeding.

●Recently underwent major surgery, or,

In cases where platelet levels are low and bleeding cannot be controlled,

●In case of a history of cerebral hemorrhage,

Cases where blood pressure is difficult to control, with systolic blood pressure reaching 185 or higher

 

It was impossible to administer, but fortunately, my mother was able to receive the medication, so surgery was not necessary.

However, since about half of the excluded patients are excluded, only about half can receive thrombolytic therapy.

 

Fortunately, my mother was able to be discharged from the emergency room without any special sequelae by receiving thrombolytic therapy intravenously, without surgery.

 

[ Cause ]

 

The most common cause of cerebral infarction

 

First, it is called arteriosclerosis caused by narrowing of the blood vessels due to hypertension, diabetes, hyperlipidemia, and other factors.

Since my mother already had high blood pressure, it is likely that this was the cause.

 

Secondly, it is also possible for blood clots caused by complications of heart diseases such as heart failure, myocardial infarction, and arrhythmia to migrate and block cerebral blood vessels, leading to the onset of stroke.

 

[ Aftereffects ]

 

It was okay at the time, but as time went on, she was diagnosed with vascular dementia.

It is said that vascular dementia sometimes develops as a sequela of cerebral infarction.

You are currently prescribed a blood clot dissolving agent along with your dementia medication.

She is now suffering from vascular dementia and is residing in a nursing home.

 

 

I am also sharing an attached article about the research findings on the correlation between ischemic stroke and dementia.