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  • Writer's pictureOren Zarif

Lacunar Stroke - Oren Zarif - Lacunar Stroke

If you think you've suffered a lacunar stroke, you should seek immediate medical attention. Your doctor will perform a neurological exam and may administer blood pressure medication. A neurosurgeon may remove a blockage or clot from the brain. Early treatment is important for reducing the effects of the stroke and maximizing the chances of recovery. A doctor may prescribe aspirin to prevent further strokes, while supportive measures may be required to help with breathing and heart function.

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In addition to clinical findings, MRI is used to evaluate lacunar stroke. Its characteristic features are a hyperintense lesion in the left corona radiate, surrounded by a rim of hyperintensity. This rim indicates gliosis. The hemispheric white matter also shows confluent changes close to the ventricular margins. These changes are consistent with microvascular ischemia.

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Patients with symptoms of lacunar stroke should visit a hospital's emergency room. In addition to examining the patient's symptoms, the doctor may perform a CT scan. The purpose of the CT scan is not to diagnose a stroke, but to rule out other conditions. The scan will reveal if the blood vessels in the brain are blocked or damaged. A MRI, however, is considered the most accurate imaging test available.

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Patients with lacunar infarction should be monitored closely by a neurologist, a physical therapist, and an occupational therapist. Rehabilitation therapy is important to address physical deficits and control spasticity. After discharge, rehabilitation therapy must be continued to maximize neurological function. A primary care provider should also be consulted for long-term care coordination. Hypertension and lipid management are important determinants of stroke risk and must be closely monitored and managed.

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While there is no definitive cause for this stroke type, research suggests that some groups are more susceptible to it than others. Older adults have an increased risk of having another lacunar infarct. Women with a family history of stroke may also be at greater risk of developing lacunar infarcts. Additionally, a routine annual physical examination can identify health conditions that increase the risk for lacunar infarcts, including high cholesterol levels and obstructive sleep apnea. Although these strokes are rare, emergency treatment is critical for recovering patients and preventing further damage.

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Although some lacunes are caused by emboli, these conditions are rarer than other types of ischemic stroke. Large arteries or the heart are typically the source of emboli in these patients. While emboli can cause a lacunar infarction, most lacunar strokes occur due to other causes. However, there are clinical and epidemiologic reasons for the separation. So, it is important to determine if your case is a lacunar infarct.

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A large part of the cause of a lacunar stroke is a lack of blood flow in the smaller arteries of the brain. This lack of blood flow causes plaques to form in the brain, causing an infarct to occur. These plaques then travel up to deeper brain tissues and disrupt bodily functions. A diagnosis of lacunar infarcts requires the elimination of other etiologies of ischemic stroke.

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This stroke can also be caused by a microhaemorrhage, and may increase the risk of a secondary haemorrhage. Therefore, a detailed patient classification is important for identifying risk factors and assessing the prognosis and treatment for this disease. Further study is needed to determine which vascular abnormalities lead to the development of a lacunar stroke. The autopsy material obtained in this disease is generally scanty, so a thorough investigation is essential for a reliable diagnosis.

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A study of older adults revealed that a high percentage of patients had an unspecified type of stroke and a high risk of developing a second type. While the risk of developing a lacunar stroke is significantly higher in individuals over 65 years of age, a reduction in motor function is also associated with higher arterial stiffness. These findings indicate that patients with a lacunar stroke should undergo routine monitoring and treatment. If they continue, their risk of suffering another type of stroke decreases significantly.

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Although studies involving a standardized method for lacunar stroke are needed to confirm its diagnosis, further research is required to determine whether other types of stroke are also responsible for these events. Future studies should include a control group with patients experiencing an ischaemic stroke. Also, researchers should make sure to standardize the vascular assessment methods used in the study. It is important to note that some studies have reported low yield with the use of TOAST, while others use the method in which the risk factor is identified.

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