Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Neurol. Dec 31, 2024; 10(1): 98672
Published online Dec 31, 2024. doi: 10.5316/wjn.v10.i1.98672
New type of lacunar stroke presenting in brain perfusion images: A case report
Ying-Hsuan Tsai, Yu-Hsuan Chen, Ta-Chung Chao, Li-Fan Lin, Shin-Tsu Chang
Ying-Hsuan Tsai, Yu-Hsuan Chen, School of Medicine, National Defense Medical Center, Taipei 114201, Taiwan
Ta-Chung Chao, Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taipei 114201, Taiwan
Li-Fan Lin, Department of Nuclear Medicine, Tri-Service General Hospital, Taipei 114201, Taiwan
Shin-Tsu Chang, Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan
Shin-Tsu Chang, Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 114201, Taiwan
Author contributions: Tsai YH wrote the original manuscript, reviewed, and edited it; Tsai YH and Chen YH conceived the idea; Chao TC and Lin LF investigated and interpreted the images; Chang ST supervised, revised, and guided manuscript; All authors thoroughly reviewed and endorsed the final manuscript.
Informed consent statement: Written informed consent was obtained from the patients according to local/national guidelines for the publication of this case report and any associated images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shin-Tsu Chang, MD, MS, PhD, Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, No. 386 Dazhong 1st Road, Zuoying District, Kaohsiung 813414, Taiwan. ccdivlaser1959@gmail.com
Received: July 2, 2024
Revised: November 28, 2024
Accepted: December 17, 2024
Published online: December 31, 2024
Processing time: 177 Days and 18.5 Hours
Core Tip

Core Tip: Lacunar stroke occurs due to blockage in specific small blood vessels resulting in hypoxia and damage in corresponding tissues, which is primarily classified into five types based on clinical symptoms. However, many other types remain to be thoroughly explored. We present a case where a subacute stroke manifested with symptoms such as involuntary deviation of the tongue to the right, speech difficulty, choking on water, and biting the oral mucosa, with the sole sensory manifestation of tongue numbness, which indicates a new type of lacunar stroke presenting in brain perfusion images.