Bilateral multiple lacunar infarction is what meaning

Bilateral multiple lacunar infarction is a common cerebrovascular disease. It is a lesion in the blood vessel wall of a small perforating artery deep in the cerebral hemisphere or brain stem, resulting in narrowing of the arterial lumen and formation of small infarcts. The following is some information about bilateral multiple lacunar infarction: 1. Definition and symptoms Bilateral multiple lacunar infarcts refer to multiple lacunar infarcts occurring simultaneously on both sides of the brain. Symptoms may include dizziness, headache, limb numbness, weakness, slurred speech, dysphagia, cognitive impairment, etc., but these symptoms may not be obvious, especially in small lacunar infarcts. 2. Etiology and risk factors The main cause is cerebral arteriosclerosis, which leads to vascular stenosis and occlusion. Other risk factors include hypertension, diabetes, hyperlipidemia, heart disease, smoking, alcoholism, old age, etc. In addition, some genetic factors and lifestyle may also increase the risk. 3. Diagnosis and examination Doctors will examine patients based on symptoms, neurological examination and imaging.(such as CT or MRI) to diagnose bilateral multiple lacunar infarcts. Other tests may include blood tests, ECG, cerebral angiography, etc. to assess vascular condition and rule out other underlying diseases. Treatment Treatment mainly includes treatment for the cause (e.g., control of blood pressure, blood sugar, lipids, etc.) and treatment to improve symptoms. Commonly used drugs include antiplatelet drugs, statins, angiotensin converting enzyme inhibitors, or angiotensin receptor antagonists. Severe lacunar infarction or worsening of symptoms may require hospitalization and rehabilitation. 5. Prevention and precautions The key to preventing bilateral multiple lacunar cerebral infarction is to control risk factors, such as hypertension, diabetes, hyperlipidemia, etc. Maintain a healthy lifestyle, including smoking cessation and alcohol restriction, reasonable diet, moderate exercise, weight control, etc. Regular physical examination and cerebrovascular examination, and follow the doctor's recommendations for treatment and management. 6. Rehabilitation and Prognosis Rehabilitation therapy is important for restoring function and improving quality of life, including physical therapy, speech therapy, cognitive training, etc. Prognosis depends on the location, size and overall health of the patient, but most patients can improve symptoms after treatment and reduce the risk of disability and recurrence. For patients with bilateral multiple lacunar infarcts, it is important to seek early medical attention, active treatment and follow the doctor's advice for management. At the same time, patients and family members should also understand the characteristics of the disease and precautions to better control the risk and promote recovery. If any new symptoms or symptoms worsen, seek medical attention promptly.