Two days ago, 65-year-old father Zhang came to the clinic with the head CT done two days ago and asked to be hospitalized, the CT just showed lacunar cerebral infarction, he was very scared, he thought the infarction was very serious and insisted to be hospitalized. In fact, people around often consult “doctor CT said I have lacunar infarction” is this very serious, with or without treatment, how to treat? The “lacunar infarction” is the abbreviation of lacunar cerebral infarction, which has a very high incidence in middle-aged and elderly people, accounting for about 30% of cerebral infarction. In fact, “lacunar cerebral infarction”, “lacunar cerebral infarction” and “lacunar ischemic foci” are only imaging manifestations and are not equivalent to brain infarction in the real sense. If there are no obvious symptoms, these imaging manifestations are collectively called “asymptomatic cerebrovascular disease”. 1.How to prevent the occurrence of lacunar cerebral infarction? The main risk factors for lacunar cerebral infarction are hypertension, hyperlipidemia, hyperglycemia and smoking, according to the principles of high evidence-based, preventable by most people and most common in life. Note the above four points. 2.With lacunar infarction, three magic drugs can help you treat and prevent recurrent brain infarction: 1.Antihypertensive drugs: Antihypertensive treatment can effectively prevent stroke recurrence and cognitive decline. The mechanism of action of the drug and the individual patient should be taken into account. Calcium antagonists are suitable for use because of their significant antihypertensive properties and their ability to reduce blood pressure variability and anti-atherosclerosis. 2. Statins: In addition to lowering cholesterol and stabilizing plaque, they also improve endothelial function, anti-inflammatory or neuroprotective effects, and are also suitable for patients with luminal infarction. Intensive lipid-lowering therapy can also effectively reduce stroke recurrence in patients with small vessel disease. 3. Antiplatelet therapy: Aspirin monotherapy should be the mainstay, and clopidogrel and cilostazol can also be used. Inhibit platelet aggregation to avoid platelets from forming clumps around exposed lipidated material during plaque rupture to form thrombi. There should be a proper perception of lacunar infarction, not to be ignored but not to be overly worried, most lacunar infarcts have a good prognosis and most patients recover within 2-4 weeks if they are diagnosed and given scientific treatment in the early stage of the onset of the disease. In conclusion, lacunar cerebral infarction does not emphasize excessive treatment, and active primary and secondary prevention is the key.