Lacunar stroke corresponds to 15-25% of all ischemic strokes. Patients with lacunar stroke usually represent a classical lacunar syndrome i.e. ataxic hemiparesis or dysarthria-clumsy hand, sensorimotor stroke, pure sensory syndrome & an atypical lacunar syndrome.
Dr. Roever L reported a case study conducted by Zhu and colleagues (in Journal of neurological Disorders) with 2, 999 patients, where 25% have metabolic syndrome and 6% with diabetes mellitus and 32% with both. In 3.8 years there were 274 recurrent strokes. In that 240 ischemic, 34 hemorrhagic and 74 myocardial infarctions. Among the 240 ischemic strokes, 56% were lacunar. The rates of any recurrent stroke or lacunar stroke were comparatively higher for those with concurrent metabolic syndrome and Diabetes mellitus.
Therefore metabolic syndrome and diabetes mellitus were associated with stroke recurrence and lacunar stroke reduction is used to control them and also for controlling hypertension, dyslipidemia, visceral obesity and smoking cessation.
Diet also plays an important role in controlling stress levels.