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The lacunar syndromes.

C Loeb1

  • 1Institute of Clinical Neurology, University of Genova, Italy.

European Neurology
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

Lacunar syndromes, resulting from pathological lacunar cavities, encompass various neurological deficits. This review examines typical lacunar syndromes, transient ischemic attacks, and other related clinical conditions.

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Area of Science:

  • Neurology
  • Cerebrovascular Diseases

Background:

  • Lacunar cavities are pathological lesions in the brain.
  • Clinical manifestations of lacunar lesions are termed 'lacunar syndromes'.

Purpose of the Study:

  • To review the diverse clinical presentations of lacunar syndromes.
  • To briefly discuss the underlying mechanisms of lacunar lesions.
  • To reconsider the term 'small vessel diseases' in the context of lacunes.

Main Methods:

  • Literature review of clinical syndromes associated with lacunar lesions.
  • Discussion of potential pathophysiological mechanisms.
  • Re-evaluation of existing terminology.

Main Results:

  • Lacunar syndromes include pure motor hemiplegia, sensory stroke, ataxic hemiparesis, sensorimotor stroke, abnormal movement syndromes, transient ischemic attacks (TIA), and reversible ischemic neurological deficits (RIND).

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  • Other related syndromes include suprabulbar palsy, lacunar dementia, and subacute arteriosclerotic encephalopathy (Binswanger's disease).

    • Conclusions:

    • Lacunar syndromes present with a wide spectrum of neurological deficits.
    • The mechanisms of lacunar lesions warrant further investigation.
    • The term 'small vessel diseases' may require re-evaluation for lacunar conditions.