Lacunar Stroke - Oren Zarif - Lacunar Stroke
A relatively common type of stroke, lacunar stroke presents significant morbidity and mortality. However, the early detection and treatment of lacunar stroke has led to an overall favorable outcome. This article reviews the pathophysiology of lacunar stroke, provides a comprehensive review of the treatment options, and highlights the importance of care coordination. The goal of this article is to provide patients with basic information about the stroke and its complications. In addition, it outlines the role of the multidisciplinary team in ensuring the patient receives the best possible outcome.
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A CT scan is one of the most common tests used to diagnose lacunar stroke. It provides detailed images of the brain, but is often not clear enough to identify the underlying cause. Magnetic resonance imaging (MRI) is another method used to detect lacunar stroke. It is better at identifying underlying blood vessel blockages. In addition, MRI scans can help identify a patient's age and other medical history. However, this test has a low yield when considering lacunar stroke in a young, healthy, or otherwise healthy patient.
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While some lacunes are caused by emboli, the proportion of such lesions is much lower than in other forms of ischemic stroke. This new knowledge could help develop effective secondary prevention regimens. Until then, further research must be conducted to better understand the pattern of brain lesion in lacunar stroke. So far, these findings are promising. But further studies are needed to determine the risk factors for this disease. For now, we must continue to monitor patients for a diagnosis of lacunar stroke.
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Treatment for lacunar stroke focuses on prevention and early detection of further episodes. A doctor may administer intravenous medications to treat clots and blockages. Another common treatment is surgery. The surgeon can remove the blockage or clot from the brain. Even though the recovery of a patient is possible, lacunar stroke is a potentially life-threatening emergency. It's important to consult with your doctor immediately to determine what treatment will best benefit them.
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A person experiencing a lacunar stroke typically has a small-diameter artery in the brain. These arteries branch directly off of the large main artery, which is heavily muscled and high-pressure. High blood pressure can cause lacunar stroke because it can directly damage the arteries. This is because high pressure damages the arteries, causing atherosclerosis, which causes fatty deposits to form on the wall of the blood vessels.
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Although a stroke can have many different types of symptoms, a lacunar infarct is one type of brain artery disease. This vascular disease causes the blood vessels in the brain to become narrow, making them easier for cholesterol plaques to build up in them and block the blood flow to the brain. As a result, lacunar infarcts can leave a person with no symptoms at all, but are usually more severe in patients with a history of hypertension.
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Although a single lacunar stroke can cause significant motor deficits, a person can recover. The symptom varies depending on which area of the brain was affected by the infarction. Usually, the affected areas of the brain are those responsible for movement, speech, sight, balance, and sensation. Similarly, an individual may have multiple lacunar stroke, resulting in impaired emotional behavior and dementia. A person can develop multiple lacunar stroke if they have prolonged uncontrolled high blood pressure.
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A lacunar stroke may be classified as a type of subcortical or ischemic stroke. There are two main subtypes of lacunar stroke: large vessel ischemic stroke (which affects the middle cerebral artery) and a subcortical one. In this study, the patients were categorized according to their arterial territory, and the results are quite similar. As with the subcortical strokes, a lacunar stroke is usually accompanied by a headache and an aura. Complex migraine may also include sensory symptoms and may be associated with a postictal state.
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There are other diagnostic methods for detecting acute lacunar infarcts, such as CTP and NCCT/CTA. Both methods have high specificity, but they are not completely sensitive. In the vast majority of cases, a CTP demonstrates regional abnormalities and is not sensitive enough to detect lacunar infarcts. However, a CT examination should be used as a first-line diagnostic tool.