Lacunar Stroke - Oren Zarif - Lacunar Stroke
While clots in the heart and neck often cause this type of stroke, they are rarely the cause of lacunar stroke. If blood clots do form in the heart, they may travel through the bloodstream and strike the brain. These clots are known as embolus and may not be able to reach small arteries that carry blood to the brain. Hence, a lacunar stroke may occur when one or more of these clots are in the brain.
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Doctors will perform a CT scan to take detailed images of the brain. However, since lacunar strokes are so small, a CT scan will not be able to reveal the full extent of the damage. A magnetic resonance imaging scan may be used instead. Another procedure called CT angiography is also used to detect blood vessel blockages. However, a CT scan is not as precise as a magnetic resonance imaging scan.
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Patients with vascular risk factors are more likely to develop lacunar stroke than patients without it. The disease can lead to a variety of sensorimotor and cognitive sequelae, ranging from memory impairment to depression. It is important to recognize the differences in these stroke-related effects and to seek treatment that will address both causes and symptoms of the disorder. A thorough examination is essential in determining the proper treatment. If you suspect a lacunar stroke, see your doctor immediately to be on the safe side.
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The first thing that your doctor will do after evaluating your symptoms is to determine the cause. If it is lacunar infarct, your doctor may administer intravenous clot-busting drugs. This is a more effective treatment. Medications are given directly into the brain, and sometimes a neurosurgeon will perform surgery to remove the blockage. Depending on the severity of the stroke, some people will be able to recover fully, but many will continue to be disabled for the rest of their lives.
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Other studies have found that there is a strong correlation between age and the risk of lacunar stroke. However, the study did not find any association between diabetes, hypertension, and asymptomatic progression of small-vessel disease. The findings of the study will help inform public health programs aimed at stroke prevention. The findings will help us understand how to detect and treat these strokes. And we need to recognize them when we see them, so that we can treat them in time.
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Patients with lacunar infarction must be managed by a neurologist and a rehabilitation therapist. Physical therapy may help control spasticity and pain, while antithrombotic drugs can treat physical deficits. Pharmacists are important as they can identify the potential for drug interactions and monitor patient safety. Outpatient rehabilitation therapy is important until neurologic function returns to the previous level before the infarction. The goal of rehabilitation therapy is to maximize neurologic function and prevent future strokes.
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The prognosis of patients with lacunar stroke depends on whether or not they have a silent or symptomatic lacunar lesion. Patients with more than one silent lesion have a worse prognosis than those with only a single symptomatic lesion. This study analyzed 339 patients who had experienced their first lacunar stroke. So, while it is not definitive, it is a start.
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Symptoms of lacunar infarction vary depending on the area of the brain affected. They may be asymptomatic or accompanied by other symptoms. But the damage caused by the stroke may have a devastating effect on bodily functions. If left untreated, it can result in the death of brain cells. While the symptoms of lacunar infarction vary, the condition often requires immediate medical attention. If left untreated, it can lead to early dementia or mild cognitive impairment.
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The most common type of ischemic stroke is lacunar stroke. It occurs when a small penetrating artery in the brain becomes blocked. Lacunar arteries are relatively small compared to the larger main artery, which is heavily muscled and high-pressure. High blood pressure can lead to a lacunar stroke directly. High blood pressure also damages the arteries directly, resulting in atherosclerosis - fatty deposits that line the walls of the blood vessels.
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