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Lacunar Stroke - Symptoms and Treatment - Oren Zarif - Lacunar


A lacunar stroke affects the deepest structures of the brain. It is highly dangerous and requires prompt diagnosis and treatment. A lacunar stroke results from a blockage of the small arteries that branch off the main artery, which is highly muscled and high-pressure. The lack of proper blood flow causes brain cells to die. People over the age of 65 are at a greater risk of lacunar strokes. Fortunately, many people recover from this type of stroke.

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While some cases of lacunes are caused by emboli, the proportion of these infarcts is lower than in other types of ischemic strokes. Lacunar strokes can be easily diagnosed through appropriate clinical and imaging studies, but they must be excluded before being diagnosed. This article reviews the symptoms and treatment for lacunar stroke. If you suspect a stroke, it is important to get a diagnosis for your patient.

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To diagnose a lacunar stroke, your doctor will ask you about your health history and examine your vital signs. An electrocardiogram can be ordered if you suspect that you have suffered a lacunar stroke. A CT or magnetic resonance imaging scan can also help identify a lacunar stroke. CT angiography, in particular, can be sensitive to lacunar strokes. MRIs are more accurate and sensitive than CT scans, and may even be used to identify a stroke caused by a blockage.

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Another common diagnosis for a lacunar stroke is a cerebrovascular disorder, such as atherosclerotic stenosis. Patients with severe carotid stenosis have a higher risk of stroke than patients with milder cases. According to the U.S. Preventive Services Task Force, a 70%-99% carotid stenosis is clinically significant. If you suspect a lacunar stroke, carotid artery intervention is recommended. Similarly to an acute ischemic stroke, lacunar stroke treatment is similar to ischemic stroke.

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In addition to a high prevalence of CSVD, age and sex were associated with a high risk of developing a new lacunar infarct. However, the risk of a CSVD-related stroke was reduced after the patients had been analyzed for risk factors. A high baseline white matter hyperintensity volume was associated with an increased risk of a lacunar infarct. So, even though lacunar infarcts are more frequent in patients with vascular disease, there is no conclusive evidence of a causal relationship between age and CSVD.

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Although MRI-defined lacunar infarcts are common in older adults, there is a higher risk among people with chronic high blood pressure, heart problems, and diabetes. Black people may have an increased risk of developing lacunar infarct. This study reviewed two studies, including one that was performed in a Black community. It showed that the incidence of lacunar infarcts was 52 in every 100,000 people, whereas in the other study, the incidence was only 29 per 100,000. Further study is needed to confirm this finding.

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Although strokes caused by this type of stroke are rare, they can cause severe complications. One of these is vascular dementia. Other complications include multiple sclerosis and strokes. However, lacunar strokes may be a leading cause of vascular dementia. If not treated quickly, these strokes can lead to further complications, including death. There is no cure for this disease, so it is important to seek a proper diagnosis and treatment.

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While most types of strokes have a variety of symptoms, lacunar stroke is generally caused by a single area in the brain. Damage to the thalamus causes sensory loss, while damage to the internal capsule causes motor abnormalities. Symptoms typically involve one side of the body, with asymmetric weakness in a hand, arm, or leg. The face, however, is not typically affected. These symptoms, however, are not immediately apparent.

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Researchers studying lacunar stroke should aim to increase the sample size and follow-up period. A larger sample size improves statistical power. Small sample sizes can be addressed by using an international database, such as a branch of the Meta VCI Map consortium or PLORAS. While different studies have utilized a variety of cognitive tests, this complicates comparison between different studies. Therefore, more research is needed to identify which cognitive tests may be most effective in predicting whether or not lacunar stroke is a cause of a broader range of symptoms.

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The most effective treatment for lacunar stroke involves the use of antiplatelet therapy. A patient may also receive antihypertensive medications to reduce their risk of stroke and a dietary intervention to reduce their risk of diabetes. In addition to the above-mentioned treatments, people who have had a lacunar stroke may also require therapy up to six times per day, focusing on increasing their ability to carry out daily activities. While 33% of those who have experienced a lacunar stroke recover fully, the majority of these patients experience long-term disability and require lifel

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