Lacunar Stroke - Oren Zarif - Lacunar
A TIA may result from a small lacunar stroke. Because of their smaller size, lacunar strokes are difficult to see on CT imaging. To confirm this diagnosis, physicians may perform a CT angiography or magnetic resonance imaging scan. While these tests are not entirely specific to lacunar strokes, they are highly sensitive in identifying the condition. However, a CT angiography is a better method of evaluating the size of a lacunar stroke.
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Lacunar strokes are caused by an occlusion of a single penetrating branch of the large cerebral arteries. MRI can diagnose the condition if there are lacunes in more than one location. This diagnosis can be difficult, however, since other etiologies of ischemic stroke must be excluded. The following clinical and radiological features are characteristic of lacunar strokes. Here are some helpful tips for diagnosing this condition:
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Genetic factors may also be a factor in this type of stroke. Advanced age, smoking, diabetes mellitus, and alcohol intake are all known risk factors. Patients with a family history of this type of stroke are more likely to develop a subsequent one if left untreated. Prompt diagnosis and treatment of lacunar stroke is crucial for preventing irreversible brain damage. The lack of blood supply causes brain cells to die. It is important to note that the risk for a lacunar stroke increases with age. Most patients recover without any complications, but some people may develop further damage and experience a subcortical stroke.
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Lacunar strokes are small in size and correspond to a subcortical region of the brain. They usually affect the basal ganglia and pons, and are associated with a significant disability. The resulting deficits may limit mobility and cause gait and balance impairment. There are also genetic and biomarkers that may identify people at risk for lacunar stroke. This study provides valuable information for improving clinical care.
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Treatment for lacunar stroke varies depending on the location of the stroke. A blood-thinning medication called heparin is typically used to treat large artery strokes, but a blood clot that develops in a smaller artery is not a candidate for thrombectomy in lacunar stroke. A catheter procedure called thrombectomy is also not considered a viable treatment option for lacunar stroke, because the arteries involved in lacunar stroke are much smaller.
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Symptomatic lacunar stroke is often accompanied by a lack of movement. It may be difficult to differentiate between these types of strokes, since the occurrence of lacunar stroke may be late in the patient's recovery. However, this type of stroke has the most favorable prognosis when compared to those with silent lacunar lesions. The study evaluated 339 patients with their first lacunar stroke. This type of stroke is often difficult to diagnose because of the small size of the cerebral vessels.
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There are different types of lacunar stroke. One type is characterized by a hemiparesis that involves the posterior limb of the internal capsule. Patients with this type of stroke can also experience a mild dysarthria without any sensory symptoms. Most patients with this type of stroke have a lack of atypical MRI results. Therefore, MRI is the best way to diagnose a lacunar stroke.
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Although age and gender are important risk factors for lacunar stroke, there are also other factors that can affect its severity. The presence of diabetes at baseline, a greater internal carotid artery stenosis, and an ankle-to-arm ratio were strongly associated with the risk of developing lacunes. Also, patients with MRI evidence of lacunes were more likely to be women. The prevalence of lacunar stroke among women was inversely correlated with their number of pack years of smoking and the number of stenosis.
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Symptoms of a lacunar stroke will vary depending on the location of the infarct. They may be minimal or nonexistent depending on the location of the stroke, but the loss of brain cells will affect bodily functions. Although the condition is rare, it can cause significant physical and cognitive impairment if not treated promptly. In fact, lacunar stroke is the third leading cause of death in older people. There are several reasons for this condition.
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A recent study has found that daily aspirin and blood-thinning medication can lower the risk of developing a lacunar stroke. Although they may decrease the risk of a first stroke, the side effects of these medications should be carefully weighed. Furthermore, aspirin can lower blood pressure and may increase the risk of bleeding. Therefore, taking aspirin daily is important if you have a history of lacunar stroke.
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