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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Remote Lacunar Infarct In The Right Basal Ganglia?

Remote lacunar infarct in the right basal ganglia.??? The ventricales are normal in size and caliber. Basal cisterns are patent. There is no evidence of acute hemorrhage or territorial infarction. No mass effect or midline shift is identified. There are no extra-axial fluid collections. The visualized paranasal sinuses and mastoid aiar cells are clear. The Calvarium. Why did the hospital and Dr get me excited andup in arms about this report saying that I had a old Stroke and possiblities of new activity? I will be taking a MRI of the brain on Friday /\ Thanks
Wed, 26 Aug 2020
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Neurologist,  's  Response
Hi,

A lacunar infarct is a small stroke which is due to the occlusion of small blood vessels. The causes are similar like for other types of strokes changes to the blood vessels from high blood pressure, diabetes, smoking, high cholesterol etc, but also from age and genetic factors. So a work up is needed for those risk factors and MRI is usually done to see if there are other lesions due to tiny blood vessel changes in other areas which the CT scan might miss.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Olsi Taka, Neurologist
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What Causes Remote Lacunar Infarct In The Right Basal Ganglia?

Hi, A lacunar infarct is a small stroke which is due to the occlusion of small blood vessels. The causes are similar like for other types of strokes changes to the blood vessels from high blood pressure, diabetes, smoking, high cholesterol etc, but also from age and genetic factors. So a work up is needed for those risk factors and MRI is usually done to see if there are other lesions due to tiny blood vessel changes in other areas which the CT scan might miss. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist