How to Prevent and Manage Cerebral Infarction at Any Age: Tips from a Neurologist

2023-10-22 00:37:00

[이데일리 이순용 기자] One of the main causes of brain diseases is age. It is known that diseases that occur in the brain mainly occur in the elderly, but in fact, it is a disease that can easily occur at any age if not prevented. Find out how to maintain healthy brain health with the help of Kim Jae-yoon, a neurologist at Yuseongseon Hospital.

Cerebral infarction refers to a disease in which brain blood vessels that supply oxygen and nutrients to brain cells are blocked, causing permanent damage to brain cells, which paralyzes brain function and reduces motor, sensory, and cognitive abilities. Stroke, which many patients are confused regarding, is a higher concept of cerebral infarction. Among strokes, ischemic stroke in which blood vessels are blocked is called cerebral infarction.

Cerebral infarction is commonly thought of as a geriatric disease that occurs in older people with many risk factors, but cerebral infarction can occur even at a relatively young age, so it is often encountered in clinical practice. The criteria for ‘young adult’ vary slightly depending on the literature or research, but usually refers to the age between 18 and 55 years. Cerebral infarction at this time accounts for approximately 10-15% of all cerebral infarction patients, and the frequency is known to increase rapidly following the age of 40.

As a cause of cerebral infarction, in the elderly, cerebral infarction is common due to direct problems with the cerebral blood vessels such as arteriosclerosis or small vessel occlusion, while in young age, it is due to other causes such as emboli (floating material within the blood vessel), vascular dissection, vasculitis, and genetic disease. Cerebral infarction is more common.

In young adult patients, cerebral infarction should be suspected if they experience not only typical symptoms such as hemiplegia, hemiparesthesia, double vision, or speech difficulties, but also severe headaches, dizziness, frequent headaches, or convulsions that have never been experienced before, especially if there is a family history of cerebral infarction. do. If you have symptoms of suspected cerebral infarction, you must visit the hospital within 4.5 hours, the ‘golden time’ for opening blood vessels, the same as elderly patients.

Specialist Kim Jae-yoon said, “You may think that risk factors for cerebral infarction in young adults are not related to eating habits or exercise, but in reality, bad lifestyle habits are known to act as triggering factors for cerebral infarction, and obesity and smoking are considered to be the biggest causes. “It is done,” he said.

Therefore, high blood pressure, hyperglycemia, and hypercholesterolemia should be checked and managed regularly, and healthy eating habits such as the Mediterranean diet and low-salt diet should be maintained. In addition, it is necessary to perform at least 30 minutes of moderate-intensity exercise (biking, swimming, brisk walking, etc.) every day, quit smoking, and maintain constant sobriety. Separately, for young women, additional counseling is needed regarding the increased risk of cerebral infarction if they have migraines, are taking high-dose oral contraceptives, or are undergoing hormone therapy following menopause.

Provided by Yuseongseon Hospital

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