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Lacunar Stroke - Oren Zarif - Lacunar
A quarter of ischaemic strokes are lacunar. This type of stroke was first described in the mid-1900s by Dr. Miller Fisher. The vascular occlusion that occurs as a result of chronic hypertension or diabetes, or by certain genetic factors, causes an infarct in a small vessel. The infarcted area becomes lake-like, and collateral circulation to the surrounding brain is limited.
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It has been suggested that the cause of lacunes is unknown. Studies have pointed to the possibility of emboli originating from larger arteries or the heart. While no definitive cause can be established, it does suggest that a larger proportion of lacunes are silent. Regardless of the cause, emergency treatment is critical to prevent any further damage. The symptoms of lacunar strokes vary. However, they can be indicative of a serious health problem.
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While these findings suggest a possible link between ischemic and non-ischemic strokes, more research is needed to determine the cause of lacunes. One study found that 116 patients with lacunar stroke were involved in a longitudinal study on the mechanisms behind this type of stroke. While these studies do not include patients with TIA, they are also not excluded because they were unable to provide informed consent. Similarly, patients were excluded if their baseline MRI was positive for ischemic stroke, or had a history of cortical stroke.
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In the present study, age and gender were strongly associated with the risk of developing lacunes. These factors were associated with the presence of multiple lacunes, symptomatic or silent, and with the presence of coronary artery stenosis at baseline. The age-to-arm ratio and the amount of serum creatinine levels were associated with the risk of developing lacunes. The researchers also examined the association between the presence of MRI evidence of lacunes and various blood pressure measurements.
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The main symptoms associated with lacunar stroke are similar to those of ischemic strokes. The primary difference between these two types is the location of the stroke. Patients with single lacunar strokes have better chances of surviving than patients with multiple silent lacunar lesions. These findings support the hypothesis that there are two distinct types of lacunar stroke. This study included 339 patients who suffered their first stroke. There are several treatment options for lacunar stroke.
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A doctor will conduct a detailed neurological exam and ask about the symptoms of a stroke. A neurosurgeon may perform a lacunar stroke operation to remove the blockage or clot in the brain. While a lacunar stroke can cause some brain damage, the effects of the treatment are relatively minor compared to those of a full-blown stroke. Recovery may be dependent on the severity of the stroke. If left untreated, a person may require physical rehabilitation, or face permanent disability.
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The symptoms of lacunar stroke depend on which part of the brain has lost blood supply. Different parts of the brain control different functions, including movement, vision, speech, and balance. If you suffer from multiple lacunar stroke, you may experience emotional behavior or dementia. The symptoms of this condition depend on the exact location of the stroke, and your diagnosis is crucial. In the meantime, you should seek emergency medical attention. For more information, visit the American Heart Association website.
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Lacunar strokes are caused by a blockage in a small blood vessel that supplies blood to the deep brain structures. These small arteries branch off of a large, muscled artery that is often high-pressure and heavily strained. This high-pressure environment can directly damage these small arteries, which are a major source of the stroke. This condition is often characterized by fatty deposits on the blood vessel walls.
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Small cerebral infarcts may be caused by deep penetrating branch occlusion, micro atheroma involving the lenticulostriate branch, or a macroatheroma from parent artery occlusion. Other possible causes include embolism, vasculitis, infections, and vasospasm, although these factors have yet to be definitively identified. Atherosclerosis of the small cerebral arteries also plays a role in subcortical ischemia.
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