How is multiple cerebral lacunar infarcts treated?

Aug 22, 2022 Source: Cainiu Health
Dr. Li Man
Introduction
For multiple cerebral lacunar infarcts, the standard management typically includes antiplatelet therapy to inhibit platelet aggregation, improving cerebral circulation, neurotrophic support for brain cells, lipid reduction, and stabilization of atherosclerotic plaques. Blood pressure and heart rate should be closely monitored, and laboratory tests—including liver function, lipid profile, blood glucose, complete blood count (CBC), and coagulation panel—should be performed to guide treatment. Antiplatelet agents such as aspirin or clopidogrel are recommended. In addition, lipid-lowering therapy with rosuvastatin or other statins is indicated.

Multiple cerebral infarctions are a common neurological disorder. The current incidence of this condition is high, and it is widespread across populations. Anyone can be affected, and multiple cerebral infarctions significantly impact patients’ health. In severe cases, the disease may even threaten life, necessitating prompt treatment. So, how is multiple lacunar cerebral infarction treated?

How is Multiple Lacunar Cerebral Infarction Treated?

Treatment for multiple lacunar cerebral infarction typically involves antiplatelet therapy to inhibit platelet aggregation, improving cerebral circulation, nourishing neuronal cells, reducing lipid levels, and stabilizing atherosclerotic plaques. Blood pressure and heart rate must be closely monitored, and laboratory tests—including liver function, lipid profile, blood glucose, complete blood count (CBC), and coagulation profile—should be performed to assess baseline status. Antiplatelet agents such as aspirin or clopidogrel are commonly prescribed. Concurrently, lipid-lowering therapy with rosuvastatin or other statins is recommended. Additionally, neuroimaging studies—including brain MRI, brain CT, and carotid and intracranial vascular ultrasound—should be conducted to evaluate cerebrovascular status and determine baseline blood pressure. If hypertension is present, stable antihypertensive therapy is advised. For patients with abnormal blood glucose, glycemic control should be initiated based on clinical presentation and severity.

Multiple cerebral infarction—also known as lacunar cerebral infarction—is a highly prevalent condition, especially among elderly individuals. It results from occlusion of small penetrating arteries and arterioles within the brain. Many patients remain asymptomatic and are only diagnosed incidentally during routine physical examinations or health screenings using brain CT or MRI. In daily management, antiplatelet medications such as aspirin may be administered, along with agents that improve cerebral perfusion—for example, Naoxin Qing Capsules.

Patients are advised to maintain strict control over diet and lifestyle habits—avoiding late-night activities, alcohol consumption, and smoking. We hope this information proves helpful.