This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Challa, V. R. Articles by Moody, D. M. Search for Related Content PubMed PubMed Citation Articles by Challa, V. R. Articles by Moody, D. M.

Stroke, Vol 20, 822-825, Copyright © 1989 by American Heart Association

ARTICLES

The value of magnetic resonance imaging in the detection of type II hemorrhagic lacunes

VR Challa and DM Moody
Department of Pathology, Wake Forest University, Bowman Gray School of Medicine, Winston-Salem, North Carolina 27103.

Lacunar infarcts (lacunes) are small necrotic/cystic lesions of the brain associated with hypertension. Many are clinically silent, but some are associated with localizing symptoms and signs. Lacunes recently were classified into three types, namely, those resulting from small infarcts (type I), those arising as small hemorrhages (type II), and those due to dilatation of perivascular spaces (type III). The type II lacunes are thought to be much less common than those of type I. Type II lacunes have not previously been reported during life. We report a case of subacute type II lacune in the pontine tegmentum that was detected by magnetic resonance imaging and later verified by histopathologic examination. The patient was hypertensive and had numerous other type I lacunes. This case shows that the magnetic resonance imaging features of hemorrhagic lacunes are identical to those of small hemorrhages or small hemorrhagic infarcts and that magnetic resonance imaging is a useful tool in the detection of lacunes and their correlation with clinical neurologic symptoms and signs.

This article has been cited by other articles:

				S-H Lee, H-J Bae, S-B Ko, H Kim, B-W Yoon, and J-K Roh Comparative analysis of the spatial distribution and severity of cerebral microbleeds and old lacunes J. Neurol. Neurosurg. Psychiatry, March 1, 2004; 75(3): 423 - 427. [Abstract] [Full Text] [PDF]

				A. J. Bastos Leite, E. C.W. van Straaten, P. Scheltens, G. Lycklama, and F. Barkhof Thalamic Lesions in Vascular Dementia: Low Sensitivity of Fluid-Attenuated Inversion Recovery (FLAIR) Imaging Stroke, February 1, 2004; 35(2): 415 - 419. [Abstract] [Full Text] [PDF]

				T. Kinoshita, T. Okudera, H. Tamura, T. Ogawa, and J. Hatazawa Assessment of Lacunar Hemorrhage Associated With Hypertensive Stroke by Echo-Planar Gradient-Echo T2*-Weighted MRI Stroke, July 1, 2000; 31(7): 1646 - 1650. [Abstract] [Full Text] [PDF]

				H. Nakatomi, H. Segawa, A. Kurata, Y. Shiokawa, K. Nagata, H. Kamiyama, K. Ueki, and T. Kirino Clinicopathological Study of Intracranial Fusiform and Dolichoectatic Aneurysms : Insight on the Mechanism of Growth Stroke, April 1, 2000; 31(4): 896 - 900. [Abstract] [Full Text] [PDF]