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KMID : 0359719940120030466
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Journal of the Korean Neurological Association
1994 Volume.12 No. 3 p.466 ~ p.473
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A Clinico-Radiological Analysis of the Lacunar Infarction
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박지욱
김재우/이상건/김갑진/하경민/최순섭
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Abstract
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Lacune is small infarct located in the deeper part of the brain and developed by occlusion of small branch of the large cerebral arteries. It occupies 10-30% of infarction in western countries but 53.1% in our study. We investigated 181 cases of
lacunar
infarction confirmed by clinical features and neuroimaging study. We analyzed lacunar stroke into 13 groups of symdrome based on the clinical features. The frequent lacunar syndromes were pure motor stroke (35.4%), sensori motor stroke(26.5%),
ataxic
hemiparesis (11.6%), and pure sensory stroke (6.1%). The frequent sites for lacune were pons (25.4%), corona radiata (24.9%), and thalamus (18.2%). The major contributing risk factcrs were hypertension (65.8%) and diabetes(19.3%). The incidence
of
multiple lacune was 67.4%. The determining factor for clinical presentation of lacune was not the size of lesion but the location of lesion.
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KEYWORD
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