IPHREHAB : LACUNAR INFARCT

IPHREHAB


Lacunar infarct
As one might surmise, small penetrating branches of the cerebral arteries may become occluded, and the resulting infarcts may be so small or so situated as to cause no symptoms whatever. As the softened tissue is removed, it leaves a small cavity, or lacune.

In our clinical and pathologic material, there has always been a strong correlation of the lacunar state with a combination of  hypertension and atherosclerosis and, to a lesser degree, with diabetes. In all the cases of lacunar infarction, the diagnosis depends essentially on the occurrence of the certain unique stroke syndromes of limited proportions.

As mentioned above, CT scanning is less reliable than MRI in demonstrating the lacunes. The EEG   may be helpful in a negative sense; in the case of lacunes in the pons or the internal capsule, there is a notable discrepancy between the unilateral paralysis or sensory loss and the negligible electrical changes  over the affected hemisphere.

Lacunar infarct

Recognition of lacunar stroke is important

Future lacunar stroke can be reduced by

    treating HTN

   Anticoagulation is not indicated ( No evidence)

   Aspirin is also of uncertainty .