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An MRI brain revealed a lacunar infarct in left putamen and internal capsule (see picture).
4) Ischaemic or haemorrhagic strokes, lacunar infarcts and even multiple strokes in different arterial territories have been described with or without associated HIV infection.
The most widely accepted classification of ischemic stroke is based on TOAST criteria which divides ischemic stroke into five categories, namely--large artery atherosclerosis, cardioembolism, small vessel occlusion (lacunar infarction), undetermined etiology and multiple possible etiologies [5,6] Another method of classification is modified Oxfordshire method, based on the anatomic distribution of infarcts-- total anterior circulation infarcts, partial anterior circulation infarcts, posterior circulation infarcts, watershed infarcts, centrum ovale infarcts and lacunar infarcts.
Repeat computed tomographic scan of the brain 2 days later revealed a lacunar infarct involving the midbrain (Fig.
Conomy testified that the patient's stroke was caused by a lacunar infarct, which is a hole in the brain, rather than the occlusion of his right carotid artery.
Well-delineated areas of abnormal signal (decreased on T1-weighted and increased on T2-weighted imaging) demonstrating lacunar infarcts are identified in the frontal, parietal, and occipital subcortical white matter and basal ganglia.
CT of the brain detected a lacunar infarct on the right side of the globus pallidus and the putamen of the right hemisphere.
22) The results of neuropathological examinations demonstrated that among participants who met pathological criteria for AD, those who additionally demonstrated brain infarcts had more severe dementia, that fewer pathological lesions of AD (plaques and tangles, P&T) were required to produce dementia in those with lacunar infarcts, and those with P&T or brain infarcts alone were less likely to have clinical dementia.