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Doctor insights on: Small Chronic Lacunar Infarct

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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

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

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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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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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 symptom of hypertension which your migraine may have obscured. I suggest you see your pcp. ...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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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 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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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 60s. 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 60s. 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

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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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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 the best revery in 6 months altho some recvery seen up to two years. Based on your description of mri, recovery very unlikely. You use word chronic in your description. ...Read more

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

57 y/o female lacunar infarct 2009. Would that make my memory (short term) be affected? It's 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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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 few brain cells that is caused by closing of a small artery that is supplying them with oxygen. ...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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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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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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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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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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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 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 is chronic, typically is not a cause of a headache. ...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

Dr. Lois Freisleben-Cook
3 doctors shared insights

Infarct (Definition)

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