FIM Scoring Criteria: (refer to the users manual for more information)

FIM Scoring Criteria:

No Helper Required

Scor Description
e

Complete Independence

Modified Independence (patient requires use of a device, but no physical assistance)

Helper (Modified Dependence)

Scor Description
e

Supervision or Setup

Minimal Contact Assistance (patient can perform 75% or more of task)

Moderate Assistance (patient can perform 50% to 74% of task)

Helper (Complete Dependence)

Scor Description
e

Maximal Assistance (patient can perform 25% to 49% of taks)

Total assistance (patient can perform less than 25% of the task or requires more than one person
to assist)

Activity does not occur

Signs and symptoms[edit]

Each of the 5 classical lacunar syndromes has a relatively distinct symptom complex. Symptoms
may occur suddenly, progressively, or in a fluctuating (e.g., the capsular warning syndrome) manner.
Occasionally, cortical infarcts and intracranial hemorrhages can mimic lacunar infarcts, but true
cortical infarct signs (such as aphasia, neglect, and visual field defects) are always absent. The 5
classic syndromes are as follows:
Name

Location of infarct

Presentation

It is marked
Pure motor
stroke/hemiparesis (most
common lacunar
syndrome: 33-50%)

by hemiparesis or hemiplegia that

posterior limb of the internal

typically affects the face, arm, or leg

capsule,basis pontis, corona

of the contralateral

radiata

side. Dysarthria, dysphagia, and

transient sensory symptoms may
also be present.

It displays a combination of
cerebellar and motor symptoms,
posterior limb of the internal
Ataxic

capsule,basis pontis,

hemiparesis (second most

and corona radiata, red

frequent lacunar syndrome)

nucleus, lentiform nucleus,

SCA infarcts, ACA infarcts

including weakness and clumsiness,

on the contralateral[1] side of the
body. It usually affects the leg more
than it does the arm; hence, it is
known also as homolateral ataxia
and crural paresis. The onset of
symptoms is often over hours or
days.

Dysarthria/clumsy
hand (sometimes
considered a variant of
ataxic hemiparesis, but
usually still is classified as
a separate lacunar

basis pontis, anterior limb or

genu of internal capsule,
corona radiata, basal ganglia,
thalamus, cerebral peduncle

The main symptoms are dysarthria

and clumsiness (i.e., weakness) of
the hand, which often are most
prominent when the patient is
writing.

syndrome)

contralateral thalamus (VPL),

Pure sensory stroke

internal capsule, corona

radiata, midbrain

Mixed sensorimotor
stroke

Marked by persistent or transient

numbness, tingling, pain, burning, or
another unpleasant sensation on
one side of the body.

thalamus and adjacent

This lacunar syndrome involves

posteriorinternal capsule,

hemiparesis or hemiplegia with

lateral pons

contralateral sensory impairment