• Ischemic strokes often present as lacunar infarcts, wherein flow along the deep penetrating vessels of the middle cerebral artery is compromised.
• These strokes typically present with either purely motor or purely sensory neurologic deficit, in an ipsilateral pattern, often striking parts of the basal ganglia.
• Lacunar infarcts may present in a mild manner and carry the best prognosis for recovery relative to other types of ischemic stroke.

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