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Neurology

Lacunar Infarct (Pure Motor)

ICD-10 Code
I63.512

Clinical Criteria for Lacunar Infarct (Pure Motor).

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with acute onset of unilateral motor weakness involving the face, arm, and leg of equal severity. No sensory deficits, visual field abnormalities, or higher cortical dysfunction (aphasia, neglect, or apraxia) reported. Symptoms reached peak intensity within minutes.

Clinical Examination Findings

Patient is hemodynamically stable. Cardiovascular exam reveals regular rate and rhythm without murmurs. Carotid auscultation negative for bruits. Blood pressure is elevated at [Insert BP], consistent with acute stroke presentation.

Treatment Protocol

Initiate secondary stroke prevention: Antiplatelet therapy (e.g., Aspirin 81-325mg or Clopidogrel 75mg), high-intensity statin (e.g., Atorvastatin 80mg), and strict blood pressure control (target <140/90 mmHg). Screen for underlying vascular risk factors including diabetes and hyperlipidemia.

Detailed clinical guide coming soon.