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

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.

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