I feel that the symptom you are talking about is anterior cerebral artery thrombosis. When the distal end is occluded, the contralateral hemiplegia, the lower limb is heavier than the upper limb, and there is mild sensory impairment. The dominant hemisphere may be related to motor aphasia, accompanied by urinary incontinence (damage to the central accessory lobule) and strong contralateral grasping reflex. When bilateral anterior cerebral arteries are occluded, mental symptoms such as apathy and euphoria may occur, paralysis of both lower limbs, urinary retention or incontinence, and primitive reflexes such as strong grip and groping. Patients with basilar artery thrombosis may not be able to speak, but their consciousness is clear, they can open their eyes and close their eyes at will, and they can express their wishes through opening their eyes and closing their eyes or vertical eye movements. They also showed bilateral facial paralysis, medullary palsy and quadriplegia.
The acute mortality of this disease is 5%~ 15%. Among the surviving patients, the disability rate is about 50%, so we should actively treat them. Attention should be paid to the treatment of ultra-early stage (within 6 hours of onset) and acute stage of cerebral thrombosis, and targeted treatment should be taken according to different conditions, onset time, clinical classification and etiology. On the basis of drug treatment, measures such as improving cerebral blood circulation, protecting brain, resisting brain edema and reducing intracranial pressure can be chosen as appropriate.