Lacunar Stroke - Oren Zarif - Lacunar Stroke
If you've ever had a stroke, you might have heard of a condition called lacunar stroke. It can be caused by embolism of the heart or large arteries. The lacunar hypothesis is a possible explanation for the difference in risk of this condition. Regardless of the cause, lacunar stroke must be treated as an emergency. Here are some of the signs and symptoms that could point to the cause of lacunar stroke.
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The cerebral circulation is mainly comprised of the arterial system, which forms a circle around the brain. The arterial branches include the middle cerebral artery, anterior cerebral artery, vertebral artery, basilar artery, and posterior cerebral artery. The deep cerebral arteries feed the white and gray matter. Lacunar stroke is a result of occlusion of these penetrating arteries, which feed the brain's deep white and gray matter. A lacunar stroke can vary in size from a few millimeters to as much as ten centimeters.
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While symptoms of lacunar stroke can last weeks or even months, it is still important to seek medical care as soon as possible. Treatment may include intravenous medications to reduce the symptoms of the stroke. In severe cases, a neurosurgeon may be required to remove the blockage or clot that has blocked the blood flow to the brain. Although the recovery rate for lacunar stroke is similar to that of other strokes, some people may still be left with a long-term disability.
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The management of lacunar stroke requires a multidisciplinary team approach, including a neurologist, a physical therapist, an occupational therapist, and a social therapist. Physical therapy and medication, such as muscle relaxants, may be necessary for some patients. Pharmacists play a vital role in managing medications, including antiplatelet drugs and other lifestyle changes. If the patient is being treated for a stroke risk factor, strict control of blood sugar levels is essential.
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CT scans for lacunar stroke should be ordered for those with a history of high blood pressure and diabetes mellitus. A diagnosis of a lacunar stroke is important for assessing the overall risk of death, ensuring that the patient gets proper treatment. The diagnosis should be confirmed by radiological tests. For patients with a lacunar stroke, it is important to exclude any other underlying disease. If there are no symptoms, CT scan may not be necessary.
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Another common type of stroke is pure motor hemiparesis. A lacunar stroke can cause weakness of either side of the body. This type of stroke affects the thalamus and connects to muscle groups throughout the body. The stroke can also damage the internal capsule of the brain, which controls voluntary movements. When the stroke is isolated to a specific location, it can cause widespread clinical symptoms. The affected side of the body is generally affected, and the victim may develop a distinct pattern in their arm or leg. A patient may not experience symptoms in the face.
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For research purposes, lacunar stroke should be studied in a larger sample size. The larger the sample size, the more statistical power the study will have. Another issue that can affect lacunar stroke research is the paucity of pathological material. Lack of lumbar puncture is an important factor in misdiagnosis and incorrect treatment of lacunar stroke. Some studies have used a variety of cognitive tests to determine the severity of the stroke, which makes comparisons difficult.
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The symptoms of lacunar stroke depend on which area of the brain has been deprived of blood. Different parts of the brain are responsible for different functions. They include movement, sight, speech, balance, and emotion. A patient with uncontrolled blood pressure for long periods of time may experience multiple lacunar infarctions. These can be serious and cause dementia. It's important to receive prompt medical attention for a lacunar stroke if you suspect it's occurring.
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Although most cases of lacunar stroke don't have noticeable symptoms, a diagnosis must be made. There are several different ways to distinguish the cause of a lacunar stroke. Some patients have a broader range of symptoms than others. For example, patients who have multiple lacunar strokes may have more significant physical problems because multiple strokes will damage the blood vessels supplying the brain. However, a stroke that occurs in one region of the brain is likely to be lacunar.
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Although lacunar stroke is not physically disabling, it can have serious effects on the brain and the way a person thinks and makes decisions. It may also contribute to mood disorders, depression, and balance problems. It may be best to consult a physician specializing in lacunar stroke if you suspect you have one. The doctor can help you determine if the condition is due to a vascular problem. However, a diagnosis of lacunar stroke should be made after careful investigation.
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