Lacunar Stroke - Oren Zarif - Lacunar Stroke
- Oren Zarif
- May 13, 2022
- 3 min read
Many of the same factors may raise your risk for a lacunar stroke, including advanced age, a history of stroke, and high cholesterol. Other causes of lacunar stroke may be carotid artery pathology, or you may have had a previous one. These strokes may also be caused by a microemboli from the heart. Subcortical dementia can result from the stroke. It is important to see a doctor right away if you suspect you are suffering from this condition.
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Patients with lacunar stroke are at increased risk of developing dementia later in life. This is especially true of older adults who may be more likely to develop dementia or other mental impairments after the stroke. Other causes of lacunar stroke include fatty deposits in the bloodstream, which can lead to atherosclerosis, which narrows the space in arteries. As a result, a stroke in this area can impair one's ability to move.
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In addition to the common causes of ischemic stroke, lacunar stroke can also be caused by infections. There are several other theories about the cause of lacunes, but the researchers believe they are related to aging. Age-related changes in the blood pressure, cholesterol, and weight increase the risk of a lacunar infarct. Fortunately, the cause of lacunes is still unknown, but this new understanding will help guide public health efforts to prevent them.
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Although blood clots rarely cause a lacunar stroke, these clots can occur in the heart or neck and travel to the brain. These clots are called embolus and they are relatively small in size, which makes them unlikely to travel through a large artery. Nevertheless, they can still cause a stroke if they are large enough. The authors also hope to start clinical trials on medications for this condition within the next 10 years.
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Another concern for studies of lacunar stroke is the lack of a control group for comparison. Increasing the sample size and follow-up period will improve the statistical power of the study. To solve this issue, researchers can create an international database. The database could be a branch of the Meta VCI Map consortium. Different studies use a variety of cognitive tests, which makes comparisons difficult. For this reason, it is critical to assess all participants for the risk of cognitive impairment.
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Symptoms of lacunar stroke can last for weeks or months. The doctor may prescribe medication to address risk factors and restore circulation. If left untreated, lacunar stroke can result in a permanent disability. However, if detected early, lacunar stroke can be treated to help a person resume their daily activities. The doctor may also recommend physical therapy if necessary. It is important to note that people with lacunar stroke do recover from the stroke.
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One study found that patients with a single symptomatic lacunar stroke had a better outcome than patients with silent lacunar lesions. These studies are encouraging, as they indicate that there are distinct types of lacunar stroke. The risk of developing lacunar stroke is lower than that for other types of ischemic stroke, according to the researchers. This study evaluated 339 patients who experienced a first-time lacunar stroke.
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Secondary prevention of lacunar stroke requires the careful monitoring of patients with a history of the disorder. Treatments for patients with a lacunar ischemic event include lipid-lowering medications, antihypertensive therapy, and a strict control of blood sugar levels. In addition, rehabilitation therapy is crucial to maximize neurologic function. In addition, the primary care provider must coordinate care after the stroke. Some patients have a genetic predisposition to the disease.
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In addition to assessing the risk factors for stroke, the authors of the study also looked at the pathophysiology of deteriorating lacunar infarctions. A reduction in blood flow leads to cerebral ischemia and initiates a cascade of chemical reactions. This deterioration is also accompanied by vasogenic brain edema. Interestingly, few clinical studies have focused on the pathogenesis of progressive motor deficits in nonlacunar infarctions. Despite this, they suggest that thrombus propagation may be the underlying cause.
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In addition to a reduced ability to speak, lacunar infarcts may also affect the motor and sensory areas of the brain. Damage to the thalamus leads to sensory loss, and motor abnormalities result. Most victims recover fully with appropriate treatment, usually within 24 hours. Symptoms may appear as ataxic hemiparesis or clumsiness in hand movements. A person who is suffering from a lacunar stroke may also have difficulty walking, swallowing, or swallowing.
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