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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.?

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.

Dr. Louis Gallia
3 Doctors shared insights

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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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!

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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 +?

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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.

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Chronic lacunar infarcts in deep gray nuclei. Are these significant in asymptomatic 72-year-old woman with controlled high blood pressure?

Chronic lacunar infarcts in deep gray nuclei. Are these significant in asymptomatic 72-year-old woman with controlled high blood pressure?

Probably not.: They're quite common in older people. If they're asymptomatic, it's not usually a concern, provided blood pressure, cholesterol etc. Are controlled. A baby Aspirin a day would be a bad idea though.

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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.

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Ct of brain shows multiple old right and a single left chronic thalamic lacunar infarcts measuring up to 1 CM noted. What does all that mean?

Ct of brain shows multiple old right and a single left chronic thalamic lacunar infarcts measuring up to 1 CM noted. What does all that mean?

Multiple CVA: Basically the ct reveals multiple infarcts or areas of the brain that have been damaged by lack of blood flow. This could have been caused by blood clots blocking arteries in the brain or areas of plaque in blood vessels causing blockage.

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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.

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Why would a lacunar infarct be called chronic?

Why would a lacunar infarct be called chronic?

It's old.: Old strokes have dark appearance on ct scan.

Dr. Eric Weisman
3 Doctors shared insights

Infarct (Definition)

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