The difference between lacunar infarction and cerebral infarction

Written by Li Qiang
Intensive Care Unit
Updated on March 24, 2025
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Lacunar stroke is a type of cerebral infarction and is considered the mildest form within strokes. Generally, the area affected by a lacunar infarction is very small, so if it is a single incident or there are not many lacunar strokes, it usually does not cause any symptoms. Many middle-aged and elderly people over the age of fifty or sixty who undergo routine CT scans during physical examinations exhibit signs of lacunar stroke on their CT images, yet most of them do not present any clinical symptoms. Therefore, lacunar stroke may only affect brain function and result in symptoms such as speech difficulties, slow reactions, weakened muscle strength in the limbs, or lack of coordination when there are numerous occurrences. Cerebral infarction can include strokes that affect larger areas of the brain, which are much more severe than lacunar strokes. These larger strokes are sufficient to cause clinical symptoms, which may include hemiplegia, drooping of the corner of the mouth and drooling, abnormal limb movements, and even fatal events in cases of extensive cerebral infarction. Thus, lacunar stroke, being a type of cerebral infarction, represents the mildest form of stroke.

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Is it good to drink milk after a stroke?

Patients with cerebral infarction can drink milk, but it must be analyzed according to the specific condition at the time because patients with cerebral infarction often experience coma and accompanying dysphagia with coughing. In such cases, drinking milk is not a problem, but attention must be paid to changes in dietary habits. If necessary, a gastric tube must be inserted through the nose into the stomach for feeding to avoid direct oral intake, which can cause coughing, aspiration, and lead to pneumonia. Therefore, this point must be carefully considered. For ordinary people in daily life, a cup of milk a day is a very good choice because milk mainly contains protein and does not contain a lot of fat and sugar. For patients with cerebral infarction, this diet is very ideal. If fresh milk can be used in everyday life, it is more beneficial for promoting the patient's recovery.

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Written by Chen Yu Fei
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What location is used for moxibustion in the treatment of cerebral infarction?

For patients with cerebral infarction, it is usually recommended during the acute phase to conduct a cranial MRI to determine the location and severity of the stroke and to decide the next treatment plan. If surgery is indicated, treatment can be administered through intravenous thrombolysis. If surgery is not indicated, or the optimal treatment time has been missed, it is recommended that the patient be hospitalized for treatment. During the acute phase, medications that invigorate the brain and improve blood circulation while nourishing the nerves are administered, and it is important to monitor any changes in the patient's condition. The effectiveness of moxibustion in treating cerebral infarction is generally moderate. During the recovery phase, patients can try moxibustion, but it is generally advised to seek treatment under the guidance of a Traditional Chinese Medicine physician at a reputable tertiary hospital.

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What should be paid attention to in the diet for cerebral infarction?

There are many dietary considerations for patients with cerebral infarction: The first point is to definitely eliminate some unhealthy eating habits, including smoking, drinking alcohol, consuming large amounts of meat, binge eating, sitting for long periods, and not exercising, among other things. Improving these bad habits can greatly help in reducing the recurrence of cerebral infarction. The second point is to adopt a diet low in salt and fat and high in protein. It is essential to avoid greasy and pickled foods on a regular basis to also reduce the recurrence of cerebral infarction. The third point is to eat more green leafy vegetables on a daily basis, especially those that are local and seasonal. If blood sugar levels are stable, increasing the consumption of fruits can also enhance the body's resistance and reduce the recurrence of cerebral infarction.

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Symptoms of cerebral infarction

For patients with cerebral infarction, during the acute phase, they typically exhibit clear symptoms of headache, dizziness, nausea, and vomiting. Patients may experience slurred speech, difficulty speaking, and obvious articulation disorders. Additionally, some patients may develop facial nerve paralysis, deviation of the mouth to one side, drooling, and often exhibit clinical signs such as a shallower nasolabial fold and disappearance of forehead wrinkles. Furthermore, some patients may also experience dysphagia, manifested by coughing when drinking water, and may be accompanied by aphasia or motor dysfunction, primarily presenting as motor aphasia, mixed aphasia, anomic aphasia, and resulting unilateral limb paralysis.

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Premonitory symptoms of cerebral infarction recurrence

The symptoms preceding the recurrence of a cerebral infarction mainly involve observing the symptoms presented during the initial incidence of the stroke. In many cases, the recurrent symptoms are very similar to those initially experienced. For example, if dizziness was a symptom during the previous episode, then dizziness could also be a precursor symptom in a recurrence, with similar nature and intensity of dizziness as before. Additionally, if previous symptoms included limb numbness, weakness, or speech impairment, similar signs might precede a recurrence. Clinically, it is imperative to address these issues before an actual recurrence occurs, such as actively pursuing antiplatelet aggregation therapy, lipid-lowering, and stabilizing plaques, and resorting to surgical treatment if necessary, to better reduce the chances of stroke recurrence.