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1.Lacunar infarcts are small deep infarcts in the distal distribution of penetrating vessels
2.They result from occlusion of one of the small penetrating end arteries at the base of the brain and are due to fibrinoid degeneration.
3.Lacunar infarcts account for 25% of all ischemic strokes.
Atherosclerosis is the most common cause of lacunar infarcts followed by emboli.
4.There are few differentials to consider and evaluate further as keeping age in mind, need to evaluate any blood related cause.
5.needs further evaluation with blood workup and other possible cause, if confirm of risk factor then some rest might be needed, as his job can be hectic. But as i said needs further find out the cause, and medications also be given which helps. Good luck.
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