A lacunar cerebral infarction is a minor cerebral infarction with a very small lesion. The vast majority of lacunar cerebral infarcts are clinically asymptomatic, and most of them are detected by CT or MRI during physical examination and have no symptoms of cerebral infarction. In fact, lacunar cerebral infarction is extremely low risk, and most of them are not only asymptomatic but also do not leave sequelae. Lacunar cerebral infarction refers to the infarction of the brain tissue supplied by the tiny untipped branches of the cerebral arteries caused by the occlusion of the blood vessels, which may be related to thrombosis, plaque detachment, vascular spasm, embolus dislodgement and so on. Another explanation is that lacunar cerebral infarction does not have any symptoms, and that is a characteristic of advanced age, that is, it is just old age that presents itself. We do not need to take aspirin and statin drugs for lacunar cerebral infarction found in patients with physical examination Only in acute attack of lacunar cerebral infarction with sudden symptoms, such as transient impairment of consciousness, unfavorable speech, transient dizziness, unsteadiness in standing, slurred speech, we can improve the examination and seek scientific treatment, as to whether it is necessary to take aspirin and statin drugs at this time needs to be based on his If not, taking these drugs will not only be of no use but also have the risk of side effects. What is the cause of lacunar cerebral infarction? It is a complication of hypertension and diabetes, so the most fundamental treatment for lacunar cerebral infarction is to control the underlying disease. Who is more likely to have lacunar cerebral infarction? With increasing age, especially after the age of 50-60, lacunar cerebral infarction shows a trend of significantly increasing incidence with age. close to 50% of people aged 60-70 have lacunar infarction, about 50-70% of people aged 70-75 may be found to have lacunar infarction by CT or MRI, and the vast majority of people over 80 have multiple lacunar infarction. Should I take medication? So, to be or not to be aspirin + statin for lacunar cerebral infarction, it is quite certain that the decision has to be based on the presence of symptoms and specific etiology, not just any doctor, which also tests the doctor’s ability and level of diagnosis and treatment. So, not all lacunar cerebral infarcts need to take aspirin and statin, if there are no symptoms and no intravascular plaque formation do not need to take aspirin and statin. For those doctors who let patients with lacunar cerebral infarction without detectable intravascular plaque take aspirin and statin for a long time, then it can only be said that the level of doctors like that needs to be improved some more.