Lacunar strokes
Evidence-based neurology checklist on lacunar strokes: Characteristics These are deep infarcts < 20mm in diameter They result from occlusion of penetrating arteries They account for 25% of ischemic strokes They cause 25% of cortical syndromes They occur silently in a quarter of people >70 years…
Characteristics
- These are deep infarcts < 20mm in diameter
- They result from occlusion of penetrating arteries
- They account for 25% of ischemic strokes
- They cause 25% of cortical syndromes
- They occur silently in a quarter of people >70 years
- They increase the risk of stroke and dementia
Risk factors: non-genetic
Risk factors: genetic
Clinical syndromes
Typical presentation
Features not associated with lacunar stroke
Predictors of recurrence
Investigations
Treatment
References
- Yaghi S, Raz E, Yang D, et al. Lacunar stroke: mechanisms and therapeutic implications. JNNP 2021 (Online ahead of print).
- Rajapakse A, Rajapakse S, Sharma JC. Is investigating for carotid artery disease warranted in non-cortical lacunar infarction? Stroke 2011; 42:217-220.
- Norrving B. Lacunar infarcts: no black holes in the brain are benign. Pract Neurol 2008; 8:222-228.
- Sacco S, Marini C, Totaro R, Russo T, Cerone D, Carolei A. A population-based study of the incidence and prognosis of lacunar stroke. Neurology 2006; 66:1335-1338.
- Bezerra DC, Sharret AR, Matsushita K, et al. Risk factors for lacune subtypes in the Artherosclerosis in Communities (ARIC) Study. Neurology 2012; 78:102-108.
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