Brief Answer:
Minor stroke , epilepsy, hypoglycemia, syncope

Detailed Answer:
Hi and thanks for the query,

A lacunar infarct is a special kind of stroke, that usually arises because of a blockage or occlusion of specific arteries that supply the brain with blood. Depending on the site of the artery, and the size of the artery occluded and also if the blockage is complete or incomplete, permanent or transitory, symptoms can be very diverse in type, intensity and duration. It is very possible that this could be a manifestation of a lacunar infarct. In her case, could have been characterized by a transient loss in consciousness.

However, it is important to check for other conditions that could have similar manifestations. It is important to know when she last had a meal before this incident, if there is any family history of hypertension, diabetes or sudden death in the family. It is important to know her recent blood pressure levels.

A lacunar infarct is very probable based for sure on CT scan findings. A transient Ischemic attack, another reversible minor form of stroke is a possibility. A syncope, which just a mild loss of consciousness, reversible within minutes due to temporal reduced blood supply to brain is a possibility. If she had not eaten well before the incident, it is prudent to also think of low blood glucose or hypoglycemia. If this is the second time, she is experiencing this, or if she had any urinating one her or stooling on her, a rapid contractions or movement of body parts, any family of epilepsy, it might be of interest to check for epilepsy. An electroencephalogramme would be most useful in this light.

The drugs prescribed to me are very appropriate. A clinical review from the neurologist shall throw more light for sure. Kind regards.

Dr Bain

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