Can someone with lacunar infarct work?

Written by Tang Bo
Neurology
Updated on September 25, 2024
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In cases where a lacunar stroke is discovered, it might be because symptoms have appeared, prompting a check-up that identifies the lacunar stroke. Such situations require proactive treatment; it is necessary to go to the hospital to decide when the treatment should end, after which one can continue working. If, however, a lacunar stroke is found during a routine physical exam without any symptoms, it might have been present for a while without causing any symptoms. In this scenario, one can continue working. However, regardless of the situation, it is advisable to further investigate the blood vessels to check the overall status of the vasculature.

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Written by Xie Wen
Neurology
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Stroke rehabilitation exercise

In the early stages of a stroke, for bedridden patients, passive limb exercises can be conducted at the bedside. This includes joint loosening exercises and passive flexing of knee and elbow joints to prevent joint contractures. When not exercising, proper limb positioning is needed; sandbags can be placed on the inside of the upper limbs to avoid internal rotation, and the legs should be placed in stiff cloth shoes or T-bar shoes to prevent external rotation. Once the patient enters the recovery phase, they can gradually begin standing and walking exercises, while also receiving treatments such as medications, hyperbaric oxygen therapy, and acupuncture. (The use of medications should be under the guidance of a professional doctor.)

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Written by Tang Bo
Neurology
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Is lacunar infarction a serious illness?

Lacunar stroke is a condition where small blood vessels in the cerebral hemispheres or brainstem undergo pathological changes and eventually become occluded as a result of common risk factors such as prolonged hypertension or diabetes. This leads to the necrosis of brain tissue. Typically, the infarct size is less than 1.5 to 2 centimeters, resulting in clinical syndromes associated with impaired neurological functions governed by the affected area. Often, lacunar strokes may be asymptomatic in some patients, while others may experience mild symptoms. Generally, the prognosis of this disease is good.

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Written by Chen Ya
Geriatrics
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How long can one survive after a stroke?

The lifespan after a stroke depends on the location and area of the stroke, the treatment received, and subsequent complications. Some patients with severe acute strokes are at risk of life-threatening conditions, and not everyone survives this acute phase. Those who do survive and enter the recovery and post-effects phases can extend their lifespan by controlling risk factors for stroke, delaying or preventing recurrence. Early rehabilitation, such as acupuncture during the early recovery phase, does not affect the normal lifespan in mild cases. However, recurrent strokes can shorten the lifespan, especially if complications like aspiration pneumonia occur afterward.

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Written by Liu Yan Hao
Neurology
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Does cerebral infarction require long-term medication?

Patients with cerebral infarction need to take medication long term. Generally, patients with cerebral infarction have underlying diseases such as cerebral arteriosclerosis and hyperlipidemia, or hypertension, hyperlipidemia, and hyperglycemia. Therefore, cerebral infarction patients need long-term medication to control blood pressure, blood lipids, and blood sugar. Additionally, they should take antiplatelet drugs to prevent new thrombus formation and drugs to combat arteriosclerosis to prevent the worsening of cerebral arteriosclerosis and cerebral vascular stenosis. The focus of treatment is also on preventing other blood vessels from blocking, which could lead to a recurrence or worsening of cerebral infarction. Thus, patients with cerebral infarction need long-term medication and regular check-ups during the medication period, including blood tests and liver and kidney function tests, to monitor for any drug-induced liver or kidney damage. If no damage is apparent, they generally need to continue taking medication long-term. (Please take medication under the guidance of a professional physician.)

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Written by Tang Bo
Neurology
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Can moxibustion be used for lacunar infarction (a type of stroke)?

Lacunar stroke is when small blood vessels in the deep parts of our brain's hemispheres or brainstem, under the long-term influence of high blood pressure, diabetes, or other risk factors, cause the supplying arteries to undergo ischemic necrosis. The affected areas typically have a diameter of less than 1.5 to 2 centimeters, leading to an acute syndrome of neurological function impairment. Treatment of this disease first depends on the patient's age and risk factors to decide whether to use medication. Also, the prognosis is generally good; there is no need for moxibustion, as moxibustion has neither benefits nor harms for lacunar stroke.