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Doctor insights on: Putamen Lacunar Infarct

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Dr. Janice Alexander
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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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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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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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?

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 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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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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Hi doctors, can you tell me what is left thalamic lacunar infarct?

Old stroke in thalam: A lacunar infarct is a small stoke, probably old in the thalamic area of the brain. Most people don't realize that you can have an asymptomatic or minimally symptomatic stroke which are unrecognized by the patient and only discovered incidentally on a scan done for other reasons. ...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

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Please advise what is the meaning of " lacunar infarct in left periventrikuler and brainstem infark"?

Please advise what is the meaning of " lacunar infarct in left periventrikuler and brainstem infark"?

Location of stroke: A lacunar infarct is a small stroke, usually deep in the brain matter. Periventricular means near the ventricles also deep in the brain. A stroke in the brainstem may affect functions not under conscious control (breathing, swallowing). ...Read more

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What is lacunar infarct in brain artery?

What is lacunar infarct in brain artery?

Infarct of the brain: Lacunar infarct is a small stroke - death of a small number of brain cells that is caused by closing of a small artery that is supplying them with oxygen. ...Read more

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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

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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

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Hi doctors, can you tell me what is lacunar infarct on right thalamus?

Small stroke: A lacunar infarct refers to a small stroke (size wise). However because of their location in the brain, where lots of nerves are crossing over (think major highway interchange in your city), they can sometimes cause major problems. The thalamus is a deep brain structure that is responsible for sorting lots of signals in the brain. ...Read more

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Impression states: small lacunar infarct in the right cerebellar hemisphere. Is that considered a stroke? Should I be doing anything about it

Impression states: small lacunar infarct in the right cerebellar hemisphere. Is that considered a stroke? Should I be doing anything about it

Stroke.: That finding would be considered a stroke, yes. You should be on medications, and you should have your blood pressure and blood sugar checked/monitored. You may want to consider seeing a Neurologist as well. And more testing may be required, such as 2d echocardiogram and carotid Doppler. ...Read more

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Lacunar infarct dec.2012, 47yr. Male, normal bloodwork, sympt. Persist h/a and sensory, take assa81, bp.130/90, family history hypertension. Prevent. Advice?

Lacunar infarct dec.2012, 47yr. Male, normal bloodwork, sympt. Persist h/a and sensory, take assa81, bp.130/90, family history hypertension. Prevent. Advice?

Look for other cause: A lacunar infarct is a kind of a stroke due to lack of blood, and therefore lack of oxygen to a part of the brain.

Reducing risk of stroke involves blood thinners like aspirin, cholesterol management, stress and blood pressure control. With headache, look for other causes other than the stroke which if chronic, typically is not a cause of a headache. ...Read more

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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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I recently had an MRI to investigate migraines and was told that I had a small prior lacunar infarct within the right inferior cerebellar pica territory. Can migraines cause this? How serious is this?

I recently had an MRI to investigate migraines and was told that I had a small prior lacunar infarct within the right inferior cerebellar pica territory. Can migraines cause this? How serious is this?

See your PCP.: Migraines does not cause lacunar infarcts. With your hypertension, make sure you did not have an undetected cva (stroke). The pain in your neck and back maybe a symptoms of hypertension which your migraine may have obscured. I suggest you see your pcp. ...Read more

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I had an MRI and they found a right frontal deep white matter lacunar infarct with surrounding gliosis. Any ideas what that could mean?

I had an MRI and they found a right frontal deep white matter lacunar infarct with surrounding gliosis. Any ideas what that could mean?

Small stroke: It means there is a very small, old stroke there. Speak with your doctor about this, it is uncommon in young people. You may need to be checked for hypertension, hyperlipidemia, hypercoagulability, and others. Sometimes migraine is an association. There may be no identifiable cause. ...Read more

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Mri brain done for tingling sensation in left predominantly. One dr diagnosed as lacunar infarct other called it ivy space. What to do...

Mri brain done for tingling sensation in left predominantly. One dr diagnosed as lacunar infarct other called it ivy space. What to do...

Can't say: They can look very similar, but in your age group in certain locations, a perivascular spaces (sometimes called virchow robin spaces) are very common and I'm guessing more likely in your case. Haven't heard it called ivy spaces, but I'm guessing it's the same thing... Hard to say without actually seeing the image. ...Read more

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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. ...Read more

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According to neurologist MRI lacunar infarct in left thalamus. But nothing is being done. No blood tests...I'm going to a new dr. Am I wrong?

According to neurologist MRI lacunar infarct in left thalamus. But nothing is being done. No blood tests...I'm going to a new dr. Am I wrong?

No: Lacunar infarcts are ischemic infarcts common in older people with long history of hypertension. At your age you need extensive work up including ruling out procoagulant conditions. ...Read more

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Mri shows lacunar infarct in left thalmus according to physician. No major symptoms. H/a, dizziness, loss of balance. Do I need to be treated for this?

Mri shows lacunar infarct in left thalmus according to physician. No major symptoms. H/a, dizziness, loss of balance. Do I need to be treated for this?

Perhaps: Real question to be discerned is why do you, at age 21 have signs of a stroke? Is it old related to a childhood issue, or newer. Do you have a hematological issue such as sickle cell, or do you have a hereditary problem with homocysteine, such as mthfr. Is there a cardiac problem such as a lingering vsd, or pfo? In other words, is there a future risk? Get answers and even additional opinions. ...Read more

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Am 48 years old and am diabetic and hyper tense. My brain mri says lacunar infarct in periventricular white matter of right parietal lobe. What is this?

Am 48 years old and am diabetic and hyper tense. My brain mri says lacunar infarct in periventricular white matter of right parietal lobe. What is this?

Small stroke: This means that you have had a small stroke in the deep brain tissue. It does not mean that you will necessarily have deficits from this but it does mean that you need to control your sugars and blood pressure very carefully to prevent further damage. It is also important to not smoke and to have a healthy diet and drink at least 2 liters of water daily. You should take an aspirin daily also. ...Read more

Dr. Arnold Malerman
3 Doctors shared insights

Infarct (Definition)

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