Clinical Profile and Localization of Lesions in Patients with Lacunar Stroke in a Tertiary Care Hospital
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Cerebral infarction of the lacunar type is also known as lacuna, which means cavity, hole or a small size. Dechambre first used the term “lacuna” in 1838 to describe softening in subcortical region of the brain found on autopsy1. Lacunar infarcts cause a clinically evident stroke when they occur at strategic sites where descending and ascending long tracts are concentrated in their course, subcortically or in the brainstem. Method: A prospective observational study of patients with lacunar stroke was conducted over two years in Department of Medicine, Govt. Medical College, Srinagar. Detailed history, examination and investigations were done. Results: Out of 92 patients, 52 had pure motor stroke and rest had either pure sensory stroke, sensori-motor or ataxic hemiparesis. The most common site of infarct was posterior limb of internal capsule. Conclusion: Lacunar stroke is an ischemic stroke caused by various risk factors like smoking, hypertension, diabetes, dyslipidemia and has varied presentations.
Authors and Affiliations
Omar Farooq
Keywords
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