How is lacunar stroke treated?

Written by Sheng Wang
Neurology
Updated on September 30, 2024
00:00
00:00

Lacunar infarction is a cerebrovascular disease. For lacunar infarctions caused by arteriosclerotic atherosclerosis, the main treatment is to prevent recurrence of infarction and dislodged plaques that cause blockages. Therefore, it is necessary to initiate treatments like aspirin, antiplatelet therapy, and atorvastatin to lower blood lipids and stabilize plaques. It is also important to control risk factors such as high blood pressure, diabetes, smoking, as well as conditions like hyperuricemia and hyperhomocysteinemia.

Other Voices

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 4sec home-news-image

What is the cause of swollen feet after a stroke?

Patients with cerebral infarction presenting with swollen feet and lower limb edema should be aware of the following reasons. The first scenario is due to reduced activity in the limbs on the paralyzed side, which results in weaker muscle contraction. Consequently, a large amount of blood accumulates in the lower limb veins, causing poor circulation and naturally leading to swollen feet. Therefore, it is crucial for patients to begin early rehabilitation training, engage in muscle massage, and perform passive joint exercises, among other activities. The second scenario that requires close attention is the formation of venous thrombosis in the lower limbs on the paralyzed side after a cerebral infarction. This condition can easily lead to venous thrombosis, which significantly contributes to foot swelling. Furthermore, it increases the risk of pulmonary embolism. It is important to complete routine coagulation tests and d-dimer examinations, as well as comprehensive lower limb venous Doppler ultrasound assessments.

doctor image
home-news-image
Written by Tang Bo
Neurology
44sec home-news-image

Do lacunar infarcts fear getting angry?

Lacunar stroke is caused by the occlusion of some small blood vessels in our skull due to pathological changes in the vessel walls after long-term hypertension, diabetes, or other diseases. Therefore, it usually stems from underlying conditions. Although getting angry may trigger a lacunar stroke, it's important to manage emotions as well. However, for lacunar stroke itself, the primary underlying causes are still hypertension, diabetes, and other risk factors. Thus, regardless of the situation, it's essential to avoid sudden and intense emotional changes, as such changes could potentially trigger a lacunar stroke.

doctor image
home-news-image
Written by Chen Ya
Geriatrics
33sec home-news-image

Brain infarction refers to the condition.

A cerebral infarction, commonly abbreviated, is typically referred to in full as thrombotic cerebral infarction or cerebral thrombosis. The most common cause is the formation of a local thrombus or from distant sites, such as the heart or major blood vessels, causing ischemia, hypoxia, and other disturbances in the cerebral blood supply. This results in localized ischemic necrosis or softening of brain tissue, leading to corresponding neurological deficits and signs.

doctor image
home-news-image
Written by Tang Bo
Neurology
48sec home-news-image

Is lacunar infarction dangerous?

Lacunar stroke is caused by pathological changes in some small blood vessels inside our skull, due to long-term hypertension or other factors, such as diabetes or immune factors, leading to the occlusion of the vessel lumen and the formation of small infarct lesions. Therefore, when these lesions appear, there may be symptoms, or there may be no symptoms; however, regardless of the situation, the prognosis is generally good. It is also necessary to assess the blood vessels to see if there are any major vascular abnormalities. If major vascular abnormalities are present, it could still be dangerous. If the abnormalities are confined to small vessels, the prognosis is generally good.

doctor image
home-news-image
Written by Xie Wen
Neurology
49sec home-news-image

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.)