Cerebral perfusion deficiency means lack of blood flow to one of the organs of the body. Therefore, transient hypoperfusion is considered a temporary problem in the brain caused by a decrease in blood flow to a certain part of the brain. Although the episode of transient hypothermia is similar to a stroke, it may be a warning sign of a possible stroke in the future. In the  Dalili Medical   reason of this article, we will discuss the topic of cerebral perfusion deficiency, and learn about the causes and treatment methods without surgery.

**What is cerebral hypothermia?**

Cerebral perfusion deficiency, also known as cerebral perfusion deficiency, is a condition that occurs when there is insufficient blood flow to the brain, which affects metabolic processes. This deficiency leads to a decrease in oxygen supply, which may cause the death of brain tissue or the occurrence of a cerebral infarction or ischemic stroke.

**Causes of cerebral ischemia**
There are several factors contributing to brain perfusion deficiency, including:

- **Arteriosclerosis** Arteriosclerosis, which is represented by the density of lipids inside the arteries, is one of the main causes of brain perfusion deficiency. Where the formation of plaques leads to the narrowing of the cavities of the arteries, which hinders the flow of blood to the brain.

- **Clots and blockages** Blood clots can form inside the arteries that feed the brain, which hinders blood flow. Also, the obstruction caused by the transfer of the clot to the brain can also lead to hypoperfusion.

- **Low blood pressure** Acute low blood pressure leads to reduced blood flow to the brain, which causes hypoperfusion. This condition can be caused by cardiac arrest, trauma, or bleeding.

- **Description of the arteries** Tears in the walls of the arteries can lead to problems in blood flow, which contributes to cerebral perfusion deficiency.

What are the causes of cerebral perfusion deficiency?

There are several factors that increase the probability of cerebral perfusion deficiency, including:

- Having a family history of heart disease.

- High levels of bad cholesterol (LDL) in the blood.

- Suffering from chronic diseases such as diabetes and high blood pressure.

- Obstruction of the carotid artery that feeds the brain as a result of fat density on the wall, which leads to a decrease in blood flow.

Sickle cell anemia, where the red blood cells are taken in a crescent shape, which increases the possibility of forming blood clots more quickly.

- Al-Samna

- Excessive smoking.

- The presence of tumors in the brain puts pressure on the carotid arteries, which reduces blood flow.

**Does brain perfusion deficiency lead to memory loss?**

Brain perfusion deficiency affects mental functions, which causes weakness in the ability to speak and understand, and in advanced cases may lead to memory loss. Amnesia varies from person to person, and the elderly are more susceptible to amnesia

Does cerebral perfusion deficiency lead to complications for the patient?

Weak brain perfusion can cause serious complications if the treatments are not done properly, and the most prominent of these complications are:

- The physical disability (Al Shall).

- Mental disorders, such as depression and anxiety.

- Difficulties in speaking and understanding.

- Celebol and stool.

**Types of Cerebral Deficiency**
** Focal Cerebral Insufficiency ** Occurrence of Focal Cerebral Insufficiency when a blood clot blocks the blood vessels in the brain. This type of hypoxia reduces blood flow to a certain area, which increases the risk of cell death in that area. It can be caused by either a blood clot or blockage.

Global cerebral ischemia occurs when the blood flow to the brain stops or decreases significantly. This is often the result of cardiac arrest. If the blood circulation is restored sufficiently in a short period of time, the symptoms may be temporary. However, if blood flow is delayed for a long time, it may cause permanent damage to the brain. While blood pumping may be necessary to protect the brain tissue as much as possible, it may also lead to injury or damage as a result of restoring blood supply to the tissue suffering from oxygen deficiency.

How does cerebral perfusion deficiency affect the patient's life?

Cerebral perfusion deficiency negatively affects the patient's life, as it is accompanied by a group of symptoms that hinder the ability to lead a normal life, including these symptoms:

- Lack of sensation on one side of the body.

- Lack of vision in one or both eyes.

- Double vision.

- Lack of awareness.

- Anxiety in body balance.

- Difficulty speaking and swallowing.

- Numbness in some parts of the body, especially the arms.

- Sudden loudness worsens over time.

- Relaxation of the eyelids.

- Bladder incontinence, which means lack of ability to control the bladder muscles.

What are the complications of cerebral ischemia?

The cessation of complications and the possibility of the continuation of the symptoms of cerebral perfusion deficiency for the duration of the perfusion weakness that affects the brain, which affects the amount of damage to the brain cells.

Below are the most prominent possible complications of cerebral ischemia:

- The lack of ability to control some parts of the body or the occurrence of paralysis, usually on one side of the body or the face, and this is accompanied by pain or numbness in those areas.

- The effect on a person's ability to speak clearly and understand speech, in addition to difficulty in eating and swallowing food. It is recommended to see a physical therapist and a speech therapist to rehabilitate the patient in case of permanent damage due to cerebral perfusion deficiency.

- Lack of memory and difficulty in concentration, which affects the patient's ability to make decisions and understand what is said to him.

- Inability to control emotions, which makes a person more susceptible to depression and isolation.

- Lack of ability to do household chores or personal care and self-care.

**Diagnosis of cerebral hypoperfusion**
Correct and timely diagnosis of cerebral perfusion deficiency is considered vital to ensure effective treatment. The diagnosis methods include the following:

**Al-Fass Al-Navsih** My orphan during Al-Fass Al-Navsih al-Shalim Taq We have motor and sensory functions, reactions and coordination, which helps in determining any neurological deficit that may indicate hypothermia.

**Imaging studies** Validation of imaging techniques such as magnetic resonance imaging (MRI) and computerized tomography (CT) are very valuable tools in visualizing brain structures and identifying areas of hypoperfusion or infarction.

**Cerebral angiography** involves injecting a contrast dye into the blood vessels to image the blood flow and identify any blockages or abnormalities.

Transcranial Doppler ultrasound is a non-surgical technique used to measure the speed of blood flow in the main arteries of the brain, which helps to detect any disorders in blood flow.

**Blood Tests** Blood tests can help identify underlying conditions, such as coagulation disorders or infections, which may lead to cerebral perfusion deficiency.

**Treatment of cerebral ischemia**
Rapid intervention is vital to reduce the effects of cerebral perfusion deficiency. Available treatment options include the following:

**Treatment of thrombosis** The use of thrombolytic agents, such as tissue plasminogen activator (tPA), dissolves blood clots and restores blood flow to the brain. This remedy is most effective when administered within a few hours of the onset of symptoms.

** Antiplatelet drugs and anticoagulants** Drugs such as aspirin and anticoagulants help prevent the formation of new blood clots and reduce the risk of frequent ischemic events.

**Surgical Interventions** In some cases, there may be a need for surgical procedures, such as resection of the lining of the carotid artery or arterial catheterization with the combination of stents, in order to remove arterial blockages and improve blood flow.

**Management of basic health conditions** The treatment of basic health conditions, such as high blood pressure, diabetes and heart disease, is necessary to prevent future ischemic events.

**Neurological protective agents** Research is still ongoing to develop neuroprotective agents that can reduce nerve damage and promote recovery after ischemic events.

**Prevention of cerebral hypoperfusion**- Obligation to take blood pressure medication in case of high blood pressure, while maintaining the blood pressure level regularly.

- Quit smoking.

- Exercising regularly.

Adhering to diabetes medication and periodically monitoring the sugar level.

- Reducing salt consumption.

- Eating a balanced diet containing fruits and vegetables.

- Exercising regularly to improve blood circulation in the body.

- Quit smoking, as nicotine causes the arteries to narrow, which prevents blood from flowing to the brain in a healthy manner.

- Bathing with cold water helps to reduce heart rate and constriction of blood vessels, which increases blood flow to the brain.

- Exposure to sunlight increases the release of the nitric oxide hormone, which dilates blood vessels and lowers blood pressure, which contributes to the delivery of the necessary nutrients to the brain.

- Following a healthy diet rich in vegetables and fruits rich in fiber, and avoiding ready-made meals that contain saturated fat, which increase the levels of harmful cholesterol in the blood and lead to hardening of the arteries.

**Treatment of cerebrovascular insufficiency with herbs**
**Ginger:** Ginger is considered to be an active herb in strengthening and activating blood circulation, as it helps in breaking down accumulated fats on the walls of blood vessels, which reduces the risk of blood clots.

** Al-zaatar:** Al-zaatar is characterized by useful properties that contribute to the prevention of blood flow, which promotes the health of blood vessels.

**Cinnamon:** Cinnamon helps improve blood flow, as it contains compounds that prevent blood clotting.

**Eklil al-Jabal:** Eklil al-Jabal contributes to the regulation of cholesterol levels in the blood, which helps maintain the health of blood vessels and reduces the risk of blood clots.

**Alginka:** Alginka contains active substances that prevent the concentration of fibrin in the blood, which is the protein responsible for blood clotting.

Hot pepper: Hot pepper increases blood flow in blood vessels and reduces fat absorption.

** Al-Thum:** Al-Thum is considered the most prominent home remedy, as it contains strong antioxidants. It is recommended to eat a piece of al-Thum every day in order to benefit from its health benefits.

**Olive oil:** Olive oil is used to treat brain inflammation and improve blood flow, and it is preferable to add it to daily meals to be an essential part of the diet.

**Cold box plant:** This plant helps in protecting the brain from damage and contributes to the reduction of fever that may pose a threat to health.

**Fitr Rishi:** Fitr Rishi is considered one of the beneficial fungi that supports brain health and improves blood circulation.

**Al-Qattad plant**: Contains flavonoids that promote the health of the immune system and help reduce the negative symptoms associated with brain inflammation.

**Ginseng plant**: It is considered the best herb for treating brain problems, as it speeds up the healing process and reduces harm. You should drink it after boiling it in water like tea, with caution on drinking it twice a day.

Coriander: It is recommended to eat green coriander with salad, or powders can be added to food.

**Al Qaras**: You can eat the juice of this herb or add it to salad.

**Albarakah pill**: Add half a spoon of Albarakah pill to mulberry juice and eat it daily.

**Aljawi Roots**: Soak a spoonful of this plant in a glass of water for 10 minutes, then drink a glass of it before going to bed.