Pure sensory lacunar syndrome
ICD-10 G46.6 is a billable code used to indicate a diagnosis of pure sensory lacunar syndrome.
Pure sensory lacunar syndrome is a type of lacunar stroke characterized by isolated sensory deficits without motor involvement. It occurs due to small vessel disease, often linked to hypertension and diabetes, leading to ischemic damage in the thalamus or other sensory pathways. Patients typically present with sudden onset of sensory loss, which may affect one side of the body, and can include numbness, tingling, or loss of proprioception. This syndrome is classified under transient ischemic attacks (TIAs) and cerebrovascular syndromes, as it represents a focal neurological deficit resulting from a transient or permanent interruption of blood flow. The diagnosis is often confirmed through neuroimaging, such as MRI, which can reveal lacunar infarcts. Effective management focuses on stroke prevention strategies, including controlling risk factors like hypertension, diabetes, and hyperlipidemia, as well as lifestyle modifications. Understanding the nuances of this syndrome is crucial for accurate coding and appropriate treatment planning.
Detailed neurological examination notes, imaging results, and risk factor assessments.
Patients presenting with sudden sensory loss, history of hypertension or diabetes, and confirmed lacunar infarcts on imaging.
Ensure clear documentation of the absence of motor deficits and the specific sensory modalities affected.
Comprehensive patient history, risk factor management plans, and referrals to specialists as needed.
Patients with risk factors for stroke presenting with transient sensory symptoms.
Focus on preventive care and management of comorbid conditions.
Used for follow-up visits for patients with pure sensory lacunar syndrome.
Document history, examination findings, and management plan.
Neurologists should ensure detailed neurological assessments are included.
Key symptoms include sudden onset of sensory loss, numbness, tingling, or loss of proprioception, typically affecting one side of the body.
Diagnosis is made based on clinical presentation, supported by neuroimaging such as MRI, which reveals lacunar infarcts.
Common risk factors include hypertension, diabetes, and hyperlipidemia, which contribute to small vessel disease.
