Lacunar Infarcts

Lacunar infarcts are also known as small vessel disease. These usually are smaller than 20 mm in size. Occlusion of the end perforating arteries of the base or the subcortical areas of the brain. They present as ischemic stroke in long-standing hypertensive people in their old age. Dementia and change in gait are some common signs. Treatment intervention is the same as ischemic stroke.

  
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What does my CT report suggest in the short and long term?

Query: Hello doctor, My computed tomography (CT) scan report says serial axial computed tomography (CT) scan image of the brain shows normal cerebrospinal fluid (CSF) space, the lateral verticles are symmetrical. There is no midline shift or bleed images. However, it shows a faint area of lacunar infarctio...  Read Full »


Answer: Hello, Welcome to icliniq.com. It just says that there is a small area in the lower part of your brain which is not getting enough blood supply. However, I need a little more details regarding your arm weakness whether it was of acute onset, which parts are weak, any tingling sensations in the arm,...  Read Full »

MRI shows sequela of lacunar type infarction with gliotic changes. Kindly explain.

Query: Hello doctor, I am a 53-year-old male with 6'2" height and weight 220 lbs. My glycated haemoglobin (HbA1c) is 8.5, high triglycerides, vertigo, and some gait issues. I had a massive pulmonary embolism two years ago, not on any blood thinners, and sometimes I have high blood pressure. Contrast magnet...  Read Full »


Answer: Hello, Welcome to icliniq.com. Magnetic resonance imaging (MRI) findings are compatible with an ischemic stroke in the brain. The stroke could be related to atherosclerosis and diabetes. HbA1c is high, indicative of diabetes. For this reason, I recommend physiotherapy and take daily baby Aspirin to...  Read Full »

What is the cause for loss of sensation in the lower parts of the body?

Query: Hi doctor, I am a 29 year old female. Almost 15 to 20 days ago, I felt that my feet were cold as if they were frozen. I felt numbness in my left leg, and suddenly, I had double vision issues. I thought it was because of increase in my eye number, but I was wrong. I then went to an eye specialist, ...  Read Full »


Answer: Hi, Welcome to icliniq.com. Thanks for your query. I have seen all your reports (attachment removed to protect patient identity). Your MRI report shows small lacunar infarct in the brain, which was responsible for your symptoms. A lacunar infarct arises from blockage of small arteries that supply th...  Read Full »

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