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Updated: Jun 27, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Chronic information-processing changes in individuals with a first-ever clinical lacunar syndrome
Jacqueline F I Anderson1, Michael M Saling, Geoffrey A Donnan
1Department of Psychology, School of Behavioural Science, The University of Melbourne, Victoria, Australia. jfande@unimelb.edu.au
Cognitive changes occur after a single lacunar syndrome event. Even without other strokes, individuals show impaired information processing, particularly with increased attention demands.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Neurology
Background:
- Single clinical lacunar syndrome diagnoses are often based on clinical presentation.
- Previous assessments indicate normal performance on general neuropsychological tests for these patients.
Purpose of the Study:
- To investigate chronic cognitive alterations following a first-ever single clinical lacunar syndrome.
- To determine if lacunar infarcts impact information processing abilities long-term.
Main Methods:
- Information-processing abilities were assessed in 17 participants with a first-ever lacunar anterior circulation infarct (LACI).
- Two specialized experimental tasks evaluated information processing under varying attentional demands.
Main Results:
- Participants with LACI demonstrated significant group-level impairments compared to controls.
- A reduced capacity to process information with increasing attentional load was observed.
- This deficit was not attributable to a general slowing of information processing speed.
Conclusions:
- This study provides the initial evidence of chronic cognitive impairment after a single clinical lacunar syndrome.
- Individuals experiencing a solitary lacunar event without prior strokes exhibit lasting cognitive deficits.
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