What is the treatment for lacunar infarct?

What is the treatment for lacunar infarct?

If you have had a lacunar stroke, your doctor may recommend a daily aspirin or other blood-thinning medication, such as ticlopidine (Ticlid) or clopidogrel (Plavix). These medicines may reduce your risk, but their benefit has been more obvious for stroke types other than lacunar strokes.

Is lacunar infarcts serious?

These infarcts have commonly been regarded as benign vascular lesions with a favourable long-term prognosis. However, recent studies have shown that this is only the case early in the disease course. A few years after infarct, there is an increased risk of death, mainly from cardiovascular causes.

Are lacunar infarcts common?

In summary, in this cohort of largely healthy older adults, MRI-defined lacunar infarcts are common. The most important risk factors for lacunes include increased age, diastolic blood pressure, and creatinine.

What causes a lacunar infarct?

As discussed in Formation of Lacunes, the cause of lacunar infarction is occlusion of a single small penetrating artery. This occlusion may be due to microatheroma and lipohyalinosis, which are associated with hypertension, smoking, and diabetes, or may result from microembolism from the heart or carotid arteries.

Is lacunar infarct a mini stroke?

A quarter of all ischaemic strokes (a fifth of all strokes) are lacunar type. Lacunar infarcts are small infarcts (2–20 mm in diameter) in the deep cerebral white matter, basal ganglia, or pons, presumed to result from the occlusion of a single small perforating artery supplying the subcortical areas of the brain.

Is a lacunar infarction a stroke or TIA?

Although usually mild and transient, the symptoms caused by a TIA are similar to those caused by a stroke. Another type of stroke that occurs in the small blood vessels in the brain is called a lacunar infarct.

Can lacunar infarcts disappear?

Some symptomatic lacunar infarcts also disappear. Although it may be that the brain tissue healed without the formation of a lacune (which implies “real” regression of cSVD), it seems more likely that these lacunar infarcts have progressed into small collapsed lacunes that are indiscernible at conventional MRI.

What is an old lacunar infarct?

Lacunar infarcts are small infarcts (2–20 mm in diameter) in the deep cerebral white matter, basal ganglia, or pons, presumed to result from the occlusion of a single small perforating artery supplying the subcortical areas of the brain.

How do you prevent lacunar infarcts?

Suitably, our findings suggest that antiplatelet monotherapy (ie, aspirin, dipyridamole, clopidogrel, cilostazol, and ticlopidine) should be recommended as secondary prevention of stroke among patients with lacunar stroke.

What are the symptoms of a lacunar infarct?

What are the symptoms of lacunar infarct?

• slurred speech.
• inability to raise one arm.
• drooping on one side of the face.
• numbness, often on only one side of the body.
• difficulty walking or moving your arms.
• confusion.
• memory problems.
• difficulty speaking or understanding spoken language.

Can you have a lacunar infarct and not know it?

Although doctors do not know the precise cause of lacunar infarctions, they are still thought to be due to disease of the blood vessels. Unlike strokes, lacunar infarctions are often not noticed by patients, though subtle symptoms sometimes can be present (trouble with memory or thinking).

Are lacunar strokes hemorrhagic?

The present results show that hemorrhagic lacunar stroke accounted for 3.8% of lacunar strokes and 7.4% of intracerebral hemorrhages included in our stroke registry. We have also shown that lacunar syndromes are clinical syndromes usually caused by symptomatic lacunar in- farcts (85% of cases).