Lacunar Stroke - Oren Zarif - Lacunar
Infarcts from the middle cerebral artery territory are often clinically distinguished from lacunar stroke. The presence of cortical signs on neuroimaging studies helps differentiate these strokes. Seizures, a condition in which neurons stop working, can be distinguished from lacunar stroke. Symptoms of seizures vary, but tonic-clonic activity and a postictal state after the seizures are distinguishable from a simple ischemic stroke. Patients with complicated migraine usually have a headache and an aura, and the typical aura may include sensory symptoms. In contrast, patients with a brain tumor typically have a characteristic appearance on MRI and may be treated with appropriate medical interventions.
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A doctor will assess your symptoms and review your medical history. He will also perform a physical examination, such as a detailed neurological exam to look for any damage. A cardiac function test may be ordered as well. The early identification of lacunar stroke may increase your chances of survival and reduce the damage done to your brain. If treatment is initiated early, medications such as aspirin may be prescribed to reduce the risk of stroke. Supportive measures may be required to help with breathing and heart function.
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The mechanisms of lacunes are still unclear. Some researchers speculate that they are caused by emboli from the larger arteries or the heart. However, there are few studies that prove a cause-and-effect relationship. Most studies are cross-sectional observational and therefore cannot establish causality, and most involve symptomatic patients. That being said, they are a useful diagnostic tool for neurologists. They may help patients determine which medications and therapies are best for them.
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Lacunar strokes affect the motor and sensory parts of the brain. Damage to the internal capsule and thalamus causes sensory loss and motor abnormalities. Most patients will experience these problems on one side of the body, including the arm and leg. Patients with lacunar strokes may experience a variety of symptoms, such as a loss of balance or a clumsy gait. Other symptoms include facial weakness, dysarthria, and dysphagia.
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Although lacunar strokes are not common, they are still a serious condition. They affect one-fifth of all strokes and cause significant physical and cognitive disabilities. In the meantime, patients should seek medical attention if they suspect a stroke. If left untreated, lacunar strokes can lead to death. They usually go untreated for months or even years, but the death of brain cells can have catastrophic consequences. The symptoms are often asymptomatic and may require treatment.
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Although few patients have fatal results from a lacunar stroke, death is not unusual. However, autopsy material is limited and the patient may have died many months or years after the stroke occurred. Because the cerebral vessels are small, studies have relied on the clinical diagnosis to identify risk factors. This approach is insufficient to identify the exact cause of death in patients suffering from lacunar stroke. The results of these studies also point to the need to further investigate the cause of these strokes.
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People who suffer from a lacunar stroke must seek medical treatment immediately. Treatment must begin within three hours of onset of symptoms. If treated promptly, many people recover within hours or days. However, some patients may experience significant complications and require physical rehabilitation. For these reasons, it is crucial to recognize the symptoms as early as possible. Fortunately, if the symptoms persist, treatment can help patients improve their condition. If the stroke is severe, physical rehabilitation may be necessary. There may also be permanent disabilities.
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This finding suggests that patients with ischemic strokes may have lacunes that are undiagnosed. Patients with a lacunar infarct may have no symptoms of a stroke, but their physicians may want to consider them as risk factors for a future stroke. This is because lacunes may occur during aging, which is a high risk factor. The researchers also believe that lacunes may be associated with ischemic infarcts.
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The risk factors associated with lacunar infarcts in the deep white matter and basal ganglia are different. While there are similarities in risk factors, it is not clear what factors contribute to the development of lacunar infarcts in patients with these conditions. Fortunately, there are a variety of risk factors that may lead to these infarcts. In particular, risk factors associated with both large and small-vascular disease have been identified.
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