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A 57-year-old male asked:

Do lacunar strokes benefit more or less , than other ischemic stroke subtypes to tpa following recommendations and qualifications for tpa administration guidelines ?

2 doctor answers2 doctors weighed in
Dr. Hiep Le
Dr. Hiep Leanswered
Nephrology and Dialysis 43 years experience
Lacunar strokes, a type of ischemic stroke, are small and located in non-cortical areas. Remember, most strokes are ischemic strokes. If tPA is used, the benefit is bigger for big ischemic area because most lacunar strokes are asymptomatic and this type of stroke is often incidentally detected when CT or MRI is done.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Bennett Machanic
Neurology 53 years experience
Chances are that lacunar stroke awareness will be lacking during time window as these are often clinically silent. Success of t-PA far better in large to medium artery obstruction
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Jan 15, 2022

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