Smallvessel Occlusion

Small-vessel occlusions, i.e., thrombosis of a single perforating cerebral artery, cause lacunar ischemic strokes. A lacunar infarct usually occurs in the internal capsule or thalamus and presents clinically as a pure motor stroke, pure sensory stroke, sensomotor stroke, dysarthria clumsy hand or ataxic hemiparesis. Patients with typical lacunar infarct syndromes account for approximately 20% of all ischemic strokes, and hypertensive small-vessel disease seems to be the most important etiology [29], Because heavy drinking of alcohol is a frequent cause of arterial hypertension, it is assumed to associate with small-vessel occlusion as well. However, conflicting observations have also been reported. Some studies have not shown alcohol to be a significant risk factor [29-31], whereas others have [9,32], The study ofYou et al. included a rather large series of young adults with lacunar infarcts [33]. This study suggested that long-term heavy alcohol consumption is a risk factor for ischemic brain infarct, whereas recent heavy drinking is not. The following case history suggests a relationship between alcohol drinking and the onset of lacunar brain infarct.

Alcohol No More

Alcohol No More

Do you love a drink from time to time? A lot of us do, often when socializing with acquaintances and loved ones. Drinking may be beneficial or harmful, depending upon your age and health status, and, naturally, how much you drink.

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