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Cognitive Functioning before and after a Lacunar Infarct

Accessible online at: www.karger.com/journals/ced A lacunar infarct is caused by an occlusion of a small penetrating terminal branch of a major intracerebral artery. This type of stroke is usually localized in the deep white matter of the brain or in the brain stem and can lead to over 20 different syndromes [1]. In general, recovery of the neurological deficit is quite good, although several patients report subjective problems in regaining their premorbid level of functioning [2]. Subtle but persistent cognitive deficits have been suggested to cause these difficulties [3], but are difficult to assess with certainty, since the premorbid level of functioning is unknown and can only be estimated indirectly. Here, we report a unique case in whom neuropsychological performance before and after stroke could be compared.