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Wednesday, April 23, 2014
Lacunar infarct, right lentiform nucleus
I`m 44 yo, female, single and a medical practitioner. A week ago I experienced left sided headache asso. with mild vertigo. CT scan was done which revealed lucunar infarct. Right lentiform nucleus. My blood pressure is 90/60mmhg ever since though I have a strong family history of hypertension. What are the probable causes of this infarct? Do i have to do an MRI? Is there a chance of recurrence? Is there any medications for this or any restrictions as to diet and lifesyle?
I have written in previous answers about the risk factors for stroke and how to prevent a second stroke. There is some risk of recurrence. Without knowing your entire medical history, it is impossible to know what caused your stroke—you should discuss this with your local physician, who would also be the best person to ask about the necessity of brain imaging studies (I presume some have been done already). As to diet and lifestyle—a heart healthy diet is your best bet, and you should try and lead a healthy and active lifestyle. I hope this information helps.
Brett Kissela, MD
Assistant Professor of Neurology
Director, Neurology Residency Program
College of Medicine
University of Cincinnati