Early Recognition Of Ischemic Disease

The early signs to recognize cerebral ischemic disease due to carotid artery stenosis such as headache, dizziness, dizziness, tinnitus ... progress quite quickly.
Carotid artery stenosis is very common, but few patients pay attention to examination and treatment

. In many cases, doctors often forget when clinically examining patients. Only when a stroke occurs, up to 25-30% due to stenosis of the carotid artery.
Doctor Nguyen Thanh Liem, Yersin International Clinic, said that carotid artery stenosis is caused by fat sticking to the vessel wall and development causing narrow in place or peeling off atheroma and drifting into the brain causing cerebral filling to cerebrovascular accident.




Cerebral ischemia is anemia in the brain cells that is often caused by narrowing of the blood supply. Symptoms of cerebral ischemia are very common in normal life but easy to be ignored such as common headache, headache due to sinusitis, dizziness due to vestibular disorders, premenopausal dizziness ... If There is no thorough treatment, long-term and difficult to treat later.
Artwork: Gink.
Some of the symptoms suggesting cerebral ischemia:
Headache: People with cerebral anemia often suffer from this symptom Terrible headaches always visit.



At first, you only have a sharp pain in a fixed area, then gradually the pain will spread all over your head. The patient will have a feeling of heaviness in his head, especially when he has to move, think a lot or when he first wakes up.
- Dizziness, dizziness, tinnitus: The patient is very susceptible to tinnitus despite being in a quiet and windless space. The episodes of dizziness, dizziness, and loss of balance will visit at the most unexpected times. When you feel you are unsteady, lean against somewhere. If there is no grip, then sit down, avoid losing your balance, not self-control, uncontrollable, it is easy to fall behind. For sick people, especially the elderly, such falls are very dangerous causing bone and joint injuries or brain damage.
- Insomnia: People with cerebral anemia often have problems with sleep such as falling asleep, often having nightmares, sleeping or waking up difficult to control, waking up in the middle of the night or until morning.



Due to chronic insomnia, the patient always feels depressed and tired, has no interest or spirit to work. Mood is often irritable, indifferent to everything around and very easily agitated.
Memory impairment: The lack of cerebral ischemia leads to the blood not being pushed up enough for the brain to function. The phenomenon of headaches, dizziness, dizziness ... occurring frequently will cause patients to gradually lose memory and quickly forget everything. Memory loss is due to brain cell aging, brain degeneration, atrophy of the brain, and ischemic condition in the brain.




- Numbness, aching limbs: Patients often have a numb feeling in the tips of the fingers, sometimes feeling under the skin tingling like crawling ants. Or pain along ribs, sometimes feeling cold in the spine, aching limbs, pain along the nape of the neck and pain along the ribs. The numbness of the fingertips and the whole body aching due to bone pain caused many inconveniences for patients.
High risk factors for carotid stenosis are over age 40, male than female, obesity, smoking, diabetes and hypertension.
Dr. Liem noted that the early signs of this ischemic disease seem mild at first but progressing quite quickly. Especially, sudden fainting spells will be very dangerous to life. When one of the symptoms appears, do not hesitate to go to the medical facility for prompt treatment.




The current diagnostic methods of carotid stenosis are color ultrasound, magnetic resonance angiography (MRA) or CT scan multi-layer scan (MSCT), digital angiography to erase background DSA ...
Can be treated internally, taking drugs to dissolve and shrink atherosclerosis to reduce the degree of stenosis of the carotid artery, and at the same time make plaques stick to the walls of blood vessels, minimizing stroke. The surgical treatment of the intravascular insertion technique to place stent in narrow position has very good results, but the same risks as cerebral edema, cerebral hemorrhage or cerebral infarction due to atheroma moving up due to the card (accounting for about 5%).
Questions about carotid atherosclerosis will be answered by doctor Nguyen Thanh Liem on the morning of May 30 at Yersin International Clinic, District 1, Ho Chi Minh City. Free registration (08) 39336688.
Le Phuong
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