Acute Phase Treatment Options for Cerebral Thrombosis

Cerebral thrombosis requires immediate medical attention, and patients are advised to reach the hospital within 4.5 hours of symptom onset. The first step in treatment involves a cranial CT scan to rule out hemorrhagic stroke. Blood tests, including a complete blood count, coagulation profile, and biochemical analysis, should also be conducted to assess the patient's overall condition and identify any contraindications.

Thrombolytic Therapy

If no contraindications are identified, intravenous thrombolytic agents such as alteplase may be administered. This type of medication works by dissolving blood clots and restoring blood flow to the affected area of the brain. Timely administration of thrombolytics significantly improves patient outcomes and reduces the risk of long-term disability.

Antiplatelet Agents

In cases where thrombolytic therapy is not suitable due to existing contraindications, antiplatelet drugs such as aspirin and clopidogrel may be prescribed. These medications help prevent the formation of new clots by inhibiting platelet aggregation, and they are often used as a first-line treatment for patients who are not candidates for thrombolysis.

Cholesterol-Lowering and Anti-Atherosclerotic Medications

Statins for Arterial Health

To address underlying atherosclerosis, which is a common cause of cerebral thrombosis, statin medications such as atorvastatin or rosuvastatin are typically recommended. These drugs help lower cholesterol levels, stabilize arterial plaques, and reduce the risk of future cardiovascular events.

Adjunctive Therapies for Circulatory Support

In addition to primary treatments, supportive medications may be used to improve cerebral circulation and promote recovery. Options include ginkgo biloba extract, xuesaitong, and ginkgobiloba dimerum, which are believed to enhance blood flow and provide neuroprotective benefits. These agents are often used alongside standard therapies to support overall brain function during the acute phase.

Medical Supervision is Essential

It is crucial that all medication decisions be made under the guidance of a qualified healthcare provider. This article is intended for informational purposes only and should not replace professional medical advice. Always consult a physician for an accurate diagnosis and personalized treatment plan.