أسباب الخطورة و عواملها في الاحتشاءات الفجوية الوحيدة و المتعددة

Abstract EN

Background &Objective: The study of the causes, risk factors, functional outcome and recurrence of lacunar infarct in its two subtypes, singular and subcortical and multiple lacunar, which are the result of lipohyalinosis degeneration, occurring in small vessels.

Methods & Materials: A prospective study of 120 cases admitted to the Assad University Hospital between April 2013 and April 2014 were diagnosed with lacunar infarct as was demonstrated through MRI scans.

These cases were divided into two groups: the first group contained the lacunar infarct and subcortical cases, and the second group comprised of the multiple lacunar infarct cases.

A comparison of the cardiac, vascular and hematological risk factors between the two groups way administered functional outcome and recurrence of 53cases were reviewed.

Result: Arterial hypertension is the first cause of multiple lacunar infarct, whereas diabetes , smoking and hyperlipidemia are the most important causes of singular lacunar infarct.

functional outcome of singular infarct is better than multiple lacunar infarct.

Conclusion: lipohyalinosis causes multiple lacunar infarct with leucoaraiosis.

Hypertension is the major risk factor, whereas atherosclerosis causes singular and subcortical lacunar infarct.

Diabetes, hyperlipidemia and smoking are all the major risk factors.