thrombosis

artery-to-artery embolism

Carrier artery disease occluding perforating arteries

low perfusion

Large artery atherosclerosis

cardioembolic type

arteriolar occlusion type

Other etiologies

Aphasia

physical impairment

Plain brain CT (the most important initial auxiliary examination)

Blood sugar; if there is a tendency for bleeding or it is uncertain whether anticoagulants have been used, routine blood tests and coagulation indicators are required.

Blood routine, blood biochemistry, coagulation index, myocardial enzyme spectrum and other tests, oxygen saturation, electrocardiogram, chest X-ray examination

Vascular lesion examination (carotid artery duplex ultrasound, TCD, CTA, MRA, DSA)

Holter electrocardiogram, echocardiography and transesophageal ultrasound, protein C, protein S, antithrombin III, glycosylated hemoglobin, homocysteine, antiphospholipid antibodies, etc.

DSA gold standard

There is >50% stenosis or occlusion of the intracranial or extracranial large arteries corresponding to cerebral infarction, and the vascular lesions are consistent with atherosclerotic changes.

Have at least one atherosclerotic stroke risk factor

Exclude cerebral infarction caused by cardioembolism

Differential diagnosis

Best route: stroke unit

General treatment

Thrombolytic therapy

anticoagulant therapy

fiber reduction treatment

neuroprotective treatment

surgical treatment

Rehabilitation care

Chronic disease management

limb movement disorder

sensory impairment

Cognitive impairment

Emotional and psychological problems

Classification

Pathogenesis

Examination: Brain water content measurement, brain CT, MRI

treat

disorder of consciousness

Types

self-termination mechanism

medical treatement

Softening lesions and skeletal muscle twitching