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Doctor insights on: Acute Lacunar Infarct

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Infarction (Definition)

When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more


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70 year old woman, diabetic and hypertension. implications of Acute Lacunar Infarct in left thalmus. What does it signify and what is the treatment.

70 year old woman, diabetic and hypertension. implications of Acute Lacunar Infarct in left thalmus. What does it signify and  what is the treatment.

Stroke.: The infarct is a stroke. Her age, hypertension and diabetes are risk actors for that stroke. But I would have to say that at age 80 her risk is primarily driven by her age. The treatment would be to keep her BP and blood glucose as close to normal as possible. She should also be on an anti platelet agent - either clopidogrel, aspirin/dipyridamole or aspirin - to reduce chance of recurrence. ...Read more

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What makes a lacunar infarct chronic?

What makes a lacunar infarct chronic?

All chronic: Infarct means death of tissue secondary to obstructed blood flow. Lacunar is a tiny area. Once event has occurred, the nerve cells do not grow back locally, but compensatory pathways arise. Key lesson, therapies can prevent stroke events. Talk to your doctor. ...Read more

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57 y/o female lacunar infarct 2009. Would that make my memory (short term) be affected? Its really getting bad. Thank u.

57 y/o female lacunar infarct 2009. Would that make my memory (short term) be affected? Its really getting bad. Thank u.

Highly unlikely: Embolic strokes are considered to be the typical forms of stroke or hemorrhagic type as well that place a person at highest risk for post stroke dementia like consequences. Small vessel ischemic type, since 2009?, and a single event? Nah.....but that doesn't mean you shouldn't get a workup of some sort because there may be an explanation. ...Read more

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Ataxic lacunar infarct, what to do?

Ataxic lacunar infarct, what to do?

Control risk factors: Lacunar infarcts are a type of ischemic stroke that is often due to risk factors for stroke including high blood pressure, high cholesterol, diabetes as well as lifestyle changes such as stopping smoking, exercise, and a healthy diet. The ataxia refers to a specific type of lacunar infarct and the associated symptoms of incoordination. It is best to seek full evaluation by a stroke neurologist. ...Read more

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What is lacunar infarct on thalamus?

What is lacunar infarct on thalamus?

Small cell death: A lacunar infarct is a small area of brain cells that have died. This may be asymptomatic or not depending on where it is and the size of it. ...Read more

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Small lacunar infarct in subcortical region ?

Lacunar Infarct?: I don't really don't understand your question. A lacunar infarct is a type of stroke that is usually due to uncontrolled, long standing hypertension. ...Read more

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Can a lacunar infarct be caused by an auto accident?

Yes: The sudden deceleration trauma may cause microscopic changes within the brain, possibly including a tiny amount of vascular damage which results in loss of blood flow to a small area, resulting in the loss of viability of that specific focus of tissue (infarct). However, this also may have happened independent of the mva. ...Read more

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What does it mean to have small lacunar infarct of the left central white matter?

Hole in the brain: A lacunar infarct is a small dot where normal tissue may have been damaged leaving a small hole. This can show as a dark dot on mri. The cause should be explored. Causes may include hypertension, diabetes, heart disease, clotting disorder, etc. It may be an incidental finding of no definite cause. Discuss these issues with your doctor. ...Read more

Infarct (Definition)

It means an area of tissue death due to lack of oxygen most commonly associated with ...Read more