Cognitive Impairment Related to Bilateral Lacunar Stroke in a 38-Year-Old Patient: A Case Report

Bilateral lacunar strokes are rare and can lead to significant cognitive impairment, even in young adults without classical risk factors.We report the case of a 38-year-old Guinean man who developed progressive memory and executive function deficits over a six-month period.Brain CT revealed bilateral lacunar infarcts involving the caudate nuclei and putamina.Vascular, metabolic, cardiac work-up, and EEG were normal.This case highlights the importance of considering bilateral lacunar stroke as a cause of unexplained cognitive decline in young adults and underscores the need for early diagnosis and multidisciplinary management, especially in resource-limited settings.