Lacunar infarction

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By Catalina Ionita MD and Patrick Pullicino MD

Lacunar infarction is also known as or subsumes Pure motor stroke and Pure sensory stroke. -ed.

In this update, the new developments reported by Catalina Ionita MD, Director of Neurocritical Care Services and Stroke Specialist for the Catholic Health System in Buffalo, New York, and Patrick Pullicino MD, Professor of Neurology at the University of Kent in Canterbury, UK, include clinical markers of lacunar infarcts secondary to branch atheromatous disease and biomarkers of lacunar infarcts secondary to small vessel disease. In addition, it is emphasized that in acute settings, MRI-DWI can overestimate the lacunar infarct size. One third of acute lacunes result in leukariosis and not cavitation. Racial-ethnic determinants besides traditional vascular risk factors influence the risk of lacunar infarction.