Optimal Treatment for Cerebral Lacunar Infarction

The optimal treatment for cerebral lacunar infarction should be personalized according to the patient's specific condition, primarily involving the following aspects:

1. Medication therapy: In the early stage of cerebral infarction, thrombolytic therapy is the first choice to dissolve existing blood clots and restore cerebral blood flow. Commonly used medications include antiplatelet agents, thrombolytics, and neurotrophic drugs. For underlying conditions such as hypertension and diabetes, long-term administration of antihypertensive and hypoglycemic drugs is necessary to control the disease and prevent recurrence.

2. Surgical treatment: For patients with extensive damage and no other contraindications after a period of cerebral infarction, surgical interventions such as clot removal or interventional procedures like stent placement in cerebral vessels may be considered to restore normal vascular patency.

3. Rehabilitation therapy: This includes physical therapy, speech therapy, and occupational therapy aimed at helping patients regain function and improve quality of life. Traditional Chinese medicine approaches such as acupuncture and massage are also commonly used to alleviate post-stroke sequelae.

4. Lifestyle modifications: Patients should maintain healthy habits, such as smoking cessation, alcohol limitation, balanced diet, and appropriate exercise, to prevent recurrence of lacunar infarction.

In addition, regular follow-up and evaluation are crucial components to ensure treatment effectiveness.