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Lacunar Stroke - Oren Zarif - Lacunar Stroke
A lacunar stroke is caused by a small clot in the arteries, which interferes with blood flow for a short period. These clots dissolve quickly, so symptoms are often relieved within minutes or disappear entirely. The condition is also sometimes treated with aspirin, which decreases the risk of stroke. Supportive measures, such as a breathing machine, can also be used to improve the situation. Regardless of the cause of the stroke, a doctor will try to determine if your medical condition has a stroke risk.
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MRI scans are useful for detecting these lesions. A CT scan will take detailed pictures of the brain. Because a lacunar stroke is so small, a CT scan may not show up clearly on the result. However, magnetic resonance imaging (MRI) is more accurate, and a CT angiography can determine if the lesion is blocking blood vessels. MRI tests may also be useful in the diagnosis of lacunar stroke.
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Another type of lacunar stroke affects the motor and sensory areas of the brain. While a thalamus is the area where most voluntary movements originate, other areas of the brain are involved as well. A stroke in one of these areas can impair the ability to move the arm or leg. It is unlikely to affect the face or speech. Nonetheless, the affected side may not be able to walk without assistance. And even if the patient can move their limbs, there is no way to predict whether the stroke will lead to another type of stroke.
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Studies show that certain risk factors increase the risk of a lacunar stroke. Advanced age, high blood pressure, smoking, diabetes mellitus, and a history of stroke increase the risk. Black people may also be at a higher risk for lacunar stroke. A review of two studies revealed that people of color were at increased risk of developing this type of stroke. One study was conducted in a predominantly Black community, and the other was in a Caucasian community. Overall, the researchers found that 52 people of color had this type of stroke. However, there were many unidentified risk factors.
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In the study of 118 patients with lacunar stroke syndrome, a total of 284 patients were enrolled in a longitudinal clinical trial to investigate the mechanisms of this disorder. A significant number of these patients did not have the capacity to consent to the study. Patients were excluded from the study if they had a serious medical condition that prevented follow-up assessment. Furthermore, if an MRI of their baseline examination could not determine a stroke diagnosis, the patients were excluded.
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After a lacunar stroke, patients should continue to receive rehabilitation services to help them recover from the injury. Physiotherapy is important to reduce physical deficits while medication can relieve spasticity and muscle tension. Patients should also comply with their anti-hypertensive medications and avoid excessive alcohol intake. The importance of care coordination cannot be overstated. When stroke is detected in a patient, it is crucial that they follow the guidelines of their primary care provider.
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A lacunar stroke occurs when the artery to the deeper brain is blocked. The small arteries of the brain branch directly from the large main artery, which is both high-pressure and heavily muscled. A lacunar stroke may occur without symptoms, but multiple incidents can result in permanent disability. The cause of lacunar stroke is still unknown, but scientists have identified several genetic clues that are associated with the condition. In either case, patients should be evaluated by a physician as soon as possible.
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A lacunar stroke is a type of ischemic stroke caused by the occlusion of a single penetrating artery. About a quarter of all cerebral infarctions involve lacunar infarcts. A lacunar stroke typically occurs in individuals with a history of hypertension and diabetes mellitus. Although the clinical course of lacunar infarction is relatively favorable in the short term, there is a high risk of death in people with multiple infarctions.
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The symptoms of a lacunar stroke can be subtle or significant. However, the loss of brain cells is a major concern in older people. Many people are unaware that they have experienced this condition, and it is important to seek medical treatment as soon as possible. The death of brain cells will disrupt bodily functions. While lacunar stroke is usually asymptomatic, it can still lead to early dementia and mild cognitive impairment. For the most part, treatment will depend on the location of the infarct.
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