Lacunar stroke

Lacunar Stroke

Welcome to the Lacunar stroke subsection of the Neurology for the MSRA course.
This section is designed to provide comprehensive and structured learning materials to help you understand and master the topic of Lacunar stroke for the MSRA.

Lacunar stroke involves various aspects of neurological pathophysiology, symptoms, diagnosis, and treatment protocols. This subsection will guide you through all necessary aspects to ensure a clear understanding of this topic, based on UK NICE guidelines.


Resources for Lacunar Stroke:

  1. Lacunar Stroke Revision Notes for MSRA:
    Detailed and concise traditional revision notes covering all essential aspects of Lacunar stroke, including its causes, symptoms, diagnosis, and treatment. These notes follow UK NICE guidelines and are displayed in a table format for easy recall.
  2. Lacunar Stroke Flashcards for MSRA:
    Interactive flashcards to help you memorise key facts and concepts about Lacunar stroke. Perfect for quick reviews and reinforcing your knowledge.
  3. Lacunar Stroke Accordion Q&A Notes for the MSRA:
    A unique feature where you can test your understanding of Lacunar stroke with question-and-answer style revision notes. This format promotes active learning and retention of important information.
  4. Lacunar Stroke Rapid Fire Quiz for MSRA:
    A short quiz designed to test your knowledge and recall of Lacunar stroke concepts. This is a great way to assess your progress and pinpoint areas needing further review.

Key Points about Lacunar Stroke

  • Definition: Lacunar stroke is a type of ischaemic stroke that occurs due to the occlusion of small penetrating arteries supplying the brain’s deeper structures, such as the basal ganglia, thalamus, and internal capsule.
  • Causes: Lacunar strokes are typically caused by chronic hypertension, which leads to small vessel disease, as well as diabetes, smoking, and hyperlipidaemia.
  • Symptoms: Common symptoms include pure motor hemiparesis, pure sensory stroke, or ataxic hemiparesis, depending on the affected region.
  • Investigations: Diagnosis is confirmed through brain imaging (CT or MRI), which reveals small infarcts (lacunes) in deep brain regions. Additional tests include blood pressure monitoring and blood tests for vascular risk factors.
  • Management: Management focuses on controlling risk factors such as hypertension, diabetes, and hyperlipidaemia. Antiplatelet agents (e.g., aspirin) and lifestyle modifications (e.g., smoking cessation, exercise) are essential.
  • Complications: Potential complications include recurrent strokes, cognitive decline, and vascular dementia.

We encourage you to use these resources for optimal revision and explore other related topics for a thorough preparation.

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Free MSRA Podcast: Lacunar stroke