Overview
The aim of this study is to determine in patients with a recent lacunar strokes (<15 days), the natural history of cognitive disturbances and disability.
Description
This bi-centric cohort study aims at determining in patients with recent lacunar strokes (<15 days), the main clinical, radiological, or genetic predictive markers of recurrent stroke, cognitive impairment, dementia, depression gait disturbances and disability.
Eligibility
Inclusion Criteria:
- Age 18 years and above
- History of recent (less than 15 days) neurological deficit related to a small subcortical infarct (evidenced by medical history or physical examination)
- Diagnosis of recent small subcortical infarct on MRI (hyperintensity on diffusion-weighted imaging showing an infarction in the territory of one perforating artery) presumably responsible for the corresponding neurological deficit
- Lesion diameter mess than 20 mm
- Ability to comply with scheduled follow-up and annual neurological evaluation
- Affiliation to the national French health insurance (sécurité sociale)
- Signature of informed consent
Exclusion Criteria:
- Prior diagnosis of dementia according to DSM IV criteria
- Prior severe disability with Rankin scale ≥ 4
- Serious concomitant systemic disorder that can compromise the follow-up study;
- Leukoencephalopathy of non-vascular origin;
- Severe psychiatric disorder;
- Inability to obtain an informed signed consent from the patient or his/her family;
- Medical contraindication or refusal to undergo cerebral magnetic resonance scanning (MRI).