TITLE:
Cognitive Impairment Related to Bilateral Lacunar Stroke in a 38-Year-Old Patient: A Case Report
AUTHORS:
Cheick Ousmane Soumah, Mohamed Tafsir Diallo, Souleymane Djigué Barry, Mohamed Lamine Touré, Malé Doré, Fodé Abass Cissé
KEYWORDS:
Bilateral Lacunar Stroke, Cognitive Impairment, Young Adult, Brain Imaging, Sub-Saharan Africa
JOURNAL NAME:
Open Access Library Journal,
Vol.12 No.9,
September
15,
2025
ABSTRACT: Bilateral lacunar strokes are rare and can lead to significant cognitive impairment, even in young adults without classical risk factors. We report the case of a 38-year-old Guinean man who developed progressive memory and executive function deficits over a six-month period. Brain CT revealed bilateral lacunar infarcts involving the caudate nuclei and putamina. Vascular, metabolic, cardiac work-up, and EEG were normal. This case highlights the importance of considering bilateral lacunar stroke as a cause of unexplained cognitive decline in young adults and underscores the need for early diagnosis and multidisciplinary management, especially in resource-limited settings.