Top
30
Doctor insights on: Basal Ganglia Lacunar Infarcts

Share
1

1
My diagnosis from cat scan: chronic right basal ganglia lacunar infarct. I was told not to worry about it. However I am...I also have bells palsy...?

My diagnosis from cat scan: chronic right basal ganglia lacunar infarct. I was told not to worry about it. However I am...I also have bells palsy...?

Unrelated: Lacunar means tiny little hole. The exact cause may be uncertain, most common is high blood pressure or diabetes. Bells palsy is peripheral facial nerve defect - unrelated to the lacunar infarct. A thorough medical evaluation would be appropriate. Referral for neurological evaluation may be appropriate. ...Read more

Basal Ganglia (Definition)

This is the term for several areas of the brain that work together as a functional unit: the striatum (caudate and putamen), the globus pallidus, the substantia nigra, and the subthalamic nucleus. The most well known function of the basal ganglia is voluntary motor control, but it is also involved in development of routine behaviors; eye movements; and ...Read more


2

2
What does a small lacunar infarct in the right basal ganglia mean?

What does a small lacunar infarct in the right basal ganglia mean?

Small infarcts: Lacunar infarcts occur as a result of localized decreased blood flow resulting in localized cell death. This occurs in the more central penetrating vessels of the brain affecting the brains deep structures such as the putamen (part of the basal ganglia), thalamus, caudate pons and internal capsule. ...Read more

3

3
Can you tell me what is tiny lacunar infarct of left basal ganglia?

Can you tell me what is tiny lacunar infarct of left basal ganglia?

Small Stroke.: Those findings are small strokes of specific areas of the brain that are subcortical or below the cortex. Two of the three mechanisms for those strokes are related to a chronic vascular disease associated with hypertension. Other likely risk factors include diabetes mellitus and possibly smoking. Symptoms will depend on what was affected. See your Neurologist or PCP.
Not a 'classic stroke'. ...Read more

4

4
Chronic lacunar infarcts in right thalamus & left basal ganglia after TB meningitis. She's 22 and now on TB meds. Can she become independent again?

Chronic lacunar infarcts in right thalamus & left basal ganglia after TB meningitis. She's 22 and now on TB meds. Can she become independent again?

Lacunar infarcts: If they really are lacunar infarcts, chances are if she is fully treated and recovered, she will improve enough with physical therapy to be strong enough to take care of herself. You just have to have faith and help her along. She needs all the help and you can provide it. ...Read more

6

6
What is chronic lacunar infarcts in right thalamus and left basal ganglia? What are recovery chances after this happened due to TB meningitis? She's only 22 and contracted TB meningitis 8 months ago?

What is chronic lacunar infarcts in right thalamus and left basal ganglia? What are recovery chances after this happened due to TB meningitis? She's only 22 and contracted TB meningitis 8 months ago?

Small strokes: Complications of meningitis: inflammation affecting blood vessels leading to decreased blood flow and local brain cell damage. A lacunar infarct is a small stoke involving an end or terminal artery, and may be clinically minimally apparent, but several such lesions could affect memory, language, and organizational skills. Rehab including speech therapy and ot may help. Recovery is possible. ...Read more

7

7
I had an MRI of the brain which showed a small old left basal ganglia lacunar infarction?

I had an MRI of the brain which showed a small old left basal ganglia lacunar infarction?

A risk factor: Regardless of the age of the prior stroke, you need to fully assess all relevant risk factors and start a protective anti-platelet med such as aggrenox, and perhaps lipitor (atorvastatin). Issue is not the prior lacunar infarct, but what may occur in future instead. ...Read more

9

9
Cn lacunar infarcts in basal ganglia and thalamus after TB meningitis show good outcome if 21 yr old female having mild hemiparesis in right side and fatigue. How long can it take? She had tbm in 2013

Cn lacunar infarcts in basal ganglia and thalamus after TB meningitis show good outcome if 21 yr old female having mild hemiparesis in right side and fatigue. How long can it take? She had tbm in 2013

Good vs functional: Good vs functional recovery. With lucencies seen on imaging, there will be residual neurological signs. How much better will the neurological signs get is uncertain. Usually signs are permanent after a year. ...Read more

10

10
What does chronic lacunar infarcts with cystic degeneration in right thalamus and left basal ganglia means? My 22 yr old fiancee's 3 month old MRI has this after contracting TB meningitis, cureable??

What does chronic lacunar infarcts with cystic degeneration in right thalamus and left basal ganglia means? My 22 yr old fiancee's 3 month old MRI has this after contracting TB meningitis, cureable??

Not curable, but: Early developmental intervention will help promote development. Was it tuberculous meningitis, treated early & completely eradicated? Hydocephalus & basal ganglia lesions are common in TBM. A pediatric neurologist can explain to her father what areas of function are likely to be impacted by the damaged areas of his baby's brain. Has the rest of the family had a TB skin test & treatment if +? ...Read more

11

11
8 months aftr TB meningitis, still issues with walking cognition, recent MRI say chronic lacunar infarct in right thalamus & left basal ganglia & hydrocephalus as well. She's 22 yrs, will she recover?

8 months aftr TB meningitis, still issues with walking cognition, recent MRI say chronic lacunar infarct in right thalamus & left basal ganglia & hydrocephalus as well. She's 22 yrs, will she recover?

Youth does wonders: Having had a lacunar stroke at 22 offers a much better prognosis than at later age of 62 or 72. Especially with some of the amazing things we are finding out about how the brain can adapt and "take up the slack" from other infarcted areas. Persistent and intense exercise therapy should be encouraged. They say after 12 months wysiwyg? I don't believe that at all. Keep working. You go girl! ...Read more

13

13
My mother inlaw just had a CT scan, small lacunar infarct left basal ganglia, (this was in the email to her) what does she have? Early 60's. Pacemaker, she hasn't had a follow up yet. I am quite sure she hasn't had any weakness on one side. She has be

My mother inlaw just had a CT scan, small lacunar infarct left basal ganglia, (this was in the email to her) what does she have? Early 60's. Pacemaker, she hasn't had a follow up yet. I am quite sure she hasn't had any weakness on one side. She has be

I: I don't know if you can relate he symptoms to the ct findings. She's had a small stroke and until it's determines why that happened, she's at significant risk for another, possibly devistating one. Once all of her risks have been addresses and dealt with by her doctor, the chances for a normal life will be much better. It is possible this was an incidental finding, in which case she's a very lucky lady. ...Read more

14

14
My mother in law had CT scan its wriiten that "old lacunar infarct in bilateral basal ganglia. Left lateral ventricle is more prominent".What is this?

My mother in law had CT scan its wriiten that "old lacunar infarct in bilateral basal ganglia. Left lateral ventricle is more prominent".What is this?

Small silent strokes: Commonly seen in older patients as blockage of tiny vessels occurs frequently without symptoms. The enlarged ventricle occurs as the damaged brain tissue shrinks. ...Read more

16

16
8 months after TB meningitis, she still has issues with walking & cognition recent MRI say chronic lacunar infarct in right thalamus& left basal ganglia & dilated lateral ventricles, will she recover?

8 months after TB meningitis, she still has issues with walking & cognition recent MRI say chronic lacunar infarct in right thalamus& left basal ganglia & dilated lateral ventricles, will she recover?

PT/Hearing check: Neurologic development in an infant is an ongoing process. After a serious infection, there may be long term effects but it is difficult to predict. It is important to have her hearing and eyes checked. Physical therapy can help her coordination. Ensuring that the infection is fully treated by following up and having all her vaccinations up to date will also help in her recovery. I hope this helps. ...Read more

17

17
7 month after TB meningitis MRI say chronic lacunar infarct in left thalamus right basal ganglia she's only 22yr having mild stroke symptoms. Can she recover? She's on TB meds and baclofen+tizanidine

7 month after TB meningitis MRI say chronic lacunar infarct in left thalamus right basal ganglia she's only 22yr having mild stroke symptoms. Can she recover? She's on TB meds and baclofen+tizanidine

Tb meningitis.: Usual rule of thumb is best revery in 6 months altho some recvery seen up to two years. Based on your description of mri, recovery very very unlikely. You use word chronic in your description. ...Read more

18

18
I had a CT scan of my brain. The results read I had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have? It started with a headache on my right temple for the last 6 months, doctor sent me to physical theapy, but did

I had a CT scan of my brain. The results read I had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have? It started with a headache on my right temple for the last 6 months, doctor sent me to physical theapy, but did

Small strokes: A small lacunar infarct refers to a stroke from occlusion of a small blood vessel. Small vessel ischemic disease refers to a chronic process whereby the small blood vessels become smaller and smaller over time and cause tiny strokes in certain brain tissues. Typical risk factors are chronic hypertension, smoking and diabetes mellitus. These small strokes can be significant when they accumulate. ...Read more

19

19
My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more

20

20
Hi doctors, was just wondering what is a lacunar infarcat left basal ganglia?

Hi doctors, was just wondering what is a lacunar infarcat left basal ganglia?

Small Stroke.: Those findings are small strokes of specific areas of the brain that are subcortical or below the cortex. Two of the three mechanisms for those strokes are related to a chronic vascular disease associated with hypertension. Other likely risk factors include diabetes mellitus and possibly smoking. Symptoms will depend on what was affected. See your Neurologist or PCP.
Not a 'classic stroke'. ...Read more

21

21
What does it mean to have atrophic changes with basal ganglia lacunar infracts.?

What does it mean to have atrophic changes with basal ganglia lacunar infracts.?

Brain changes: These finding suggest a chronic process which has caused damage to parts of the brain. The most common culprit is atherosclerotic disease of the arteries. Additional evaluation by a physician is recommended. ...Read more

22

22
Is an ischemic stroke in the basal ganglia always considered a lacunar stroke?

Is an ischemic stroke in the basal ganglia always considered a lacunar stroke?

Matter of size: A lacunar stroke is due to a block in a smaller end artery, as contrasted to a carotid or middle cerebral artery obstruction, which would cause damage to a larger area of brain. Many strokes in the basal ganglia are small and often not noticed clinically, but the larger ones are very evident. ...Read more

23

23
Old lacunar infarcts or bilateral benign cysts found in basal ganglion. Seeing neuro soon. Possible cause of my migraine w/ stroke like symptoms?

Old lacunar infarcts or bilateral benign cysts found in basal ganglion. Seeing neuro soon. Possible cause of my migraine w/ stroke like symptoms?

Unlikely,: Not unique for an MRI to show white matter lesions in pts who have history of migraine, especially complex episodes, either classical or hemiplegic. Strokes with migraine, seems most associated with auras, cigarette smoking, and hormonal use. The root cause of your episodes is genetic, which changes your brain glutamate sensitivity. ...Read more

24

24
What are the chances of good recovery for a 22 yrs old TB meningitis patient with chronic lacunar infarcts in right thalamus and left basal gaglia and hydrocephalus? She has some cognitive issues now?

What are the chances of good recovery for a 22 yrs old TB meningitis patient with chronic lacunar infarcts in right thalamus and left basal gaglia and hydrocephalus? She has some cognitive issues now?

Not sure: It is really almost impossible to say not knowing the extent of the injuries. In general the brain takes a long time to repair - 6mo to greater than a year.
Never underestimate the repairing abilities of the human body.
Hope this helps. ...Read more

25

25
Can cod liver oil help in chronic lacunar infarcts in left basal gaglia and right thalamus due to TB meningitis with TB meds. Any related side effect?

Can cod liver oil help in chronic lacunar infarcts in left basal gaglia and right thalamus due to TB meningitis with TB meds. Any related side effect?

Sorry, no benefit: Cod liver oil or other fish oils may prevent some vascular dysfunction associated with aging, but once a stroke has occurred, no potential benefit is possible from omega 3 fatty acids. Maybe rehabilitation with speech therapy, physical therapy, and occupational therapy of best benefit. ...Read more

26

26
What is the function of the basal ganglia?

What is the function of the basal ganglia?

Basal Ganglia: Motivation, Eye movements, Neurotransmitters.

Get a more detailed answer ›
27

27
Neuroanatomy-basal ganglia and internal capsule, what are these?

Neuroanatomy-basal ganglia and internal capsule, what are these?

Basal Ganglia: Basal ganglia are group of structures linked to the Thalamus in the base of the brain, involved in coordination of movements. They consist of Caudate nucleus, Putamen & Globus pallidus.
Internal capsule is White matter in the inferomedial part of each cerebral hemisphere, which carries information past the Basal Ganglia, carrying information from Cerebral cortex to Brainstem & Spinal cord. ...Read more

28

28
How to differentiate cerebellar dysfunctions from basal ganglia dysfuntions?

How to differentiate cerebellar dysfunctions from basal ganglia dysfuntions?

Several ways: BG has resting tremor, Cerebellar has action tremor. Muscle tone up in BG, decreased in cerebellum. Gait ataxia if cerebellar, but short hesitant steps in BG. Just a couple ways that neurologists look at findings. If you think you might have one or the other problems, might consider a visit to a neurologist. ...Read more

29

29
How can you differentiate cerebellar dysfunctions from basal ganglia dysfuntions?

How can you differentiate cerebellar dysfunctions from basal ganglia dysfuntions?

Yes: Somewhat easy for a trained neurologist, as different types of tremors, muscle tone, coordination, gait and balance, and our imaging studies, such as MRI and PET scans can separate out the location of the problems. ...Read more

30

30
Could you link me to a book or two about the basal ganglia or OCD I the basal ganglia?

Here's a link: Http://www. Ehow. Com/facts_5875596_basal-ganglia-ocd. Html. I hope this is helpful, sorry for the delay. ...Read more

Dr. Ihab Ibrahim
3 Doctors shared insights

Infarct (Definition)

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