Lacunar Stroke - Oren Zarif - Lacunar
A lacunar stroke is a stroke in which the area of the brain responsible for voluntary movements is damaged. The fibers in this area connect to the brain cortex, which control voluntary movements, and activate muscles throughout the body. Therefore, a stroke in this area causes inability to move. An example of a lacunar stroke is represented by a puppeteer holding strings, representing the areas affected by the stroke. MRI results can reveal a single lacunar.
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Initial evaluation for lacunar stroke includes brain imaging, such as a CT scan or an MRI. Because small perforating arteries are difficult to visualize, doctors usually use clinical features to make the diagnosis. The initial CT/MRI may help rule out life-threatening conditions. Acute treatment for lacunar strokes is similar to that for ischemic strokes. The neurologist may administer muscle relaxants or other treatments to reduce the neurologic deficits caused by the stroke.
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Studies of the incidence of lacunar stroke have used both magnetic resonance imaging and computed tomography to study the condition. However, some authors have advocated abandoning the lacunar hypothesis. These detractors cite a lack of animal data and the fact that a substantial percentage of lacunar strokes have embolic sources. Despite these arguments, the evidence is still mixed. If you're a family member or friend of a stroke survivor, it's crucial to have them checked for the symptoms of lacunar stroke.
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Another possible cause of a lacunar stroke is a blood clot. The clot may form in the heart or neck, and then travel through the bloodstream to the brain. It is often asymptomatic, but it can have devastating effects. In addition to disrupting bodily functions, a lacunar stroke is associated with severe cognitive and physical disabilities. This is why it is important to consult a physician as soon as you notice any of the symptoms listed above.
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While some lacunes result from emboli, the incidence is lower than that of other ischemic strokes. In addition, there are a variety of factors that can cause a lacunar stroke, including the presence of a coronary artery occlusion or a thrombotic disease. A stroke can be caused by a variety of factors, including a stroke. If it is caused by an embolic event, the patient may be at risk for a second stroke.
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An MRI-defined lacunar infarcts are common in older adults, but not in everyone. The three most important risk factors were age, diastolic blood pressure, and creatinine. However, the differences between the subgroups are not large enough to suggest a difference in underlying mechanisms of disease. A silent lacune is also associated with increased risk for lower and upper extremity stroke. Further studies are necessary to identify whether lacunes are predictive of subsequent risk for stroke.
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A lacunar stroke is often the result of a small clot that interferes with blood flow for a few minutes, before fading. If detected early, treatment can reverse symptoms and even restore brain function. Even if the symptoms do not resolve, the patient will probably need physical rehabilitation and may face a lifetime of disability. This is why it is so important to see a doctor if you notice any of these symptoms.
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The risk factor profiles of people with a single or multiple lacunes are distinct from those of patients with single or multiple, symptomatic, or silent lacunes. The authors compared the differences between these three groups using age, sex, and number of lacunes. The models used in the study were not related to each other, but sex and age were included. Even when the same risk factors were included, the differences were small.
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If you have a history of lacunar stroke, you should take antiplatelet drugs. Antiplatelet medications may reduce the risk of lacunar strokes by reducing the formation of blood clots, which are the cause of strokes. However, these drugs are not without risks, including bleeding, so take care and speak with your doctor before taking any type of medication. A daily aspirin may help you prevent a stroke. However, it is important to note that this risk is higher with daily aspirin than with any other type of antiplatelet drugs.
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In addition to age, an individual's height and weight are significant risk factors for developing lacunes. MRI findings were also associated with a high level of creatinine and a low-density lipoprotein cholesterol. Further, patients with stenosis of the internal carotid artery (50%) were at greater risk for developing lacunes. This study also emphasized the role of internal carotid artery stenosis.
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