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Doctor insights on: Chronic Lacunar Infarct

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I was detected to have a chronic lacunar infarct, left parietal periventricular white matter. Please advise what it is and if it is fatal. ?

Sign of a stroke: Such a term implies there is evident of an old stroke (size matters) on the left side of the brain in ther deeper area beneath the surface. Periventrical lesions there are common for small strokes often associated with hypertension/diabetes - it obviously was not be fatal in itself, but the underlying disease must be managed medically. The effects may best be measured by neuropsych. ...Read more

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Dr. Bret Boyle
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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


Dr. Bret Boyle
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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

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Dr. Bret Boyle
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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

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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

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Chronic lacunar infarcts in right putamen-this is MRI report.what is its treatment?is it a major problem?age is 49 years of patient.

Chronic lacunar: infarct is a small old stroke. There is no treatment because it has already occurred. It won't get worse. Speak with your doctor. If you have risk factors or medical conditions predisposing to stroke, they may be treatable. The goal is to prevent future strokes. ...Read more

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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

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Whether levofloxacin shud b used wid hzre for TB meningitis patients and for hw long? For chronic lacunar infarcts and hydrocephalus furosimide could be given or some other drug. Want a second opinion

Whether levofloxacin shud b used wid hzre for TB meningitis patients and for hw long? For chronic lacunar infarcts and hydrocephalus furosimide could be given or some other drug. Want a second opinion

A mix up: You threw a lot of things in the same pot, so I am not sure i quite understand all what you said. First, Levofloxacin is not used as a first or second line medication in the us for the treatment of tb. Lacunar infarcts are not normally treated with furosemide. Furosemide may potentially be used for hydrocephalus but that's not the treatment for that. It may be used symptomatically at times. ...Read more

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Infarct (Definition)

Infarct is also known as Infarction. It means an area of tissue death due to lack of oxygen most commonly associated with ...Read more


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Dr. Bret Boyle
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