, Volume 31, Issue 4, pp 316–319 | Cite as

The role of computed tomography in patients with lacunar stroke in the carotid territory

  • L. J. Kappelle
  • L. M. P. Ramos
  • J. van Gijn


In a prospective study of 78 patients presenting with recent clinical features of a supratentorially located lacunar infarct (LI), serial CT-scanning with contiguous 6, 5 or 3 mm slices was carried out. LI was found in 59 patients (76%; 95% confidence limits 65–85%). Lesions other than lacunar infarcts were found in 5 patients (6%; 95% confidence limits 2–14%); in only 14 patients could no abnormalities be detected (18%; 95% confidence limits 10–28%). There was no relationship between the detection rate on CT on the one hand and the type of lacunar syndrome, the number of previous TIA's, and the duration or severity of the neurological deficit on the other. A new protocol of CT-scanning for screening LI is advocated for situations where no MRI facilities are available or no patients cooperation can be obtained.

Key words

Lacunar infarction Computerized tomographic study Cerebrovascular disorders 


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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • L. J. Kappelle
    • 1
  • L. M. P. Ramos
    • 2
  • J. van Gijn
    • 1
  1. 1.Department of NeurologyUniversity Hospital UtrechtThe Netherlands
  2. 2.Department of RadiologyUniversity Hospital UtrechtThe Netherlands

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