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Doctor insights on: Treatments For Lacunar Stroke

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What could cause a lacunar stroke in a person that's only 21?

What could cause a lacunar stroke in a person that's only 21?

Stroke: A lacunar stroke at age 21 is very rare with the exception of patients with severe infections, cardiac disease and sickle cell anemia. These are usually embolic events and a good neurology team can work this up to find the source of the problem. ...Read more

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Dr. Bennett Machanic
1,382 doctors shared insights

Stroke (Definition)

Stroke is a loss of neurological function due to loss of blood flow to a part of the brain. This can be the result of clotting locally, an embolus from elsewhere in the vascular system or bleeding in the brain. It is usually manifest by a sudden ...Read more


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What exactly is a lacunar stroke signs, symptoms, lasting effects, is it seen on mri?

Lacunar Stroke: Lacunar stroke is a type of stroke that results from occlusion of one of the penetrating arteries that provides blood to the brain's deep structures. It is estimated that lacunar infarcts account for 25% of all ischemic strokes, with an annual incidence of approximately 15 per 100, 000 people. They may be more frequent in men and in people of african, mexican, and hong kong chinese descent. ...Read more

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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

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What symptoms or lasting effects of a lacunar stroke on the left side mid brain?

What symptoms or lasting effects of a lacunar stroke on the left side mid brain?

Lacunes: Many people will have no symptoms from lacunar infarcts. However, ultimately symptoms depend on the location of any such strokes. ...Read more

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Please explain why would a CT obtained the 3rd day after a lacunar stroke be normal?

Please explain why would a CT obtained the 3rd day after a lacunar stroke be normal?

Image resolution: Lacunar infarcts are very small lesions, and usually secondary to end artery occlusion. The cat scan is a crude way of visualizing stroke and MRI is much better. Thus, the area may be too small or the angular cuts may be too wide. ...Read more

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Why would a CT scan obtained the 3rd day after a lacunar stroke be normal?

Why would a CT scan obtained the 3rd day after a lacunar stroke be normal?

It is possible: Sometimes a lacunar stroke does not appear on CT - at least for a small lacunar stroke. An MRI of the brain would be a more useful tool to determine if a stroke has occurred. A CT scan is less costly, and should always be done to evaluate stroke (for bleeding) but it may not see small changes, sometimes even 3 days later. ...Read more

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I'm 61 w/heart, brain, kidney conditions including chf, af, bypass, lacunar stroke. I'm avoiding md visits i need. Could a case manager help me?

I'm 61 w/heart, brain, kidney conditions including chf, af, bypass,  lacunar stroke.  I'm avoiding md visits i need. Could a case manager help me?

No.: A case manager is not a replacement for your doctor by any means. With all those underlying medical conditions, you should be getting care regularly. You can avoid the doctor, but you won't be able to avoid the problems your diseases are bringing. Good luck! ...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 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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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