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Lacunar infarct.

Marcello Lastilla1

  • 1Ospedale F. Miulli, Acquaviva delle Fonti, Bari, Italy. marclastilla@libero.it

Clinical and Experimental Hypertension (New York, N.Y. : 1993)
|July 13, 2006
PubMed
Summary
This summary is machine-generated.

Lacunar infarcts are small, deep brain lesions caused by perforating artery disease. Diagnosis via MRI shows these lesions typically have a good prognosis.

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Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroimaging

Background:

  • Lacunar infarcts are subcortical ischemic lesions affecting small perforating arteries.
  • These lesions are the underlying mechanism for lacunar syndromes, a group of neurological deficits.

Purpose of the Study:

  • To define lacunar infarcts and their associated clinical syndromes.
  • To outline the underlying arteriopathies and diagnostic methods.

Main Methods:

  • Review of literature on lacunar infarcts and syndromes.
  • Description of radiological findings using MRI.
  • Identification of causative arteriopathies.

Main Results:

  • Lacunar infarcts are small, deep lesions resulting from perforating artery disease.

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  • Common causes include microatheroma, lipohyalinosis, and aneurysms.
  • Clinical presentations include pure motor/sensory stroke and ataxic hemiparesis.
  • Conclusions:

    • Lacunar infarcts are linked to specific arteriopathies and present with distinct clinical syndromes.
    • Diagnosis is primarily achieved through MRI.
    • The prognosis for lacunar infarcts is generally favorable.