022715 cases

Question 1

the three P’s of strokes

Answer 1

pump
pipes
passengers

Question 2

cardioembolism accounts for what percent of strokes

Answer 2

20-30

Question 3

where do cardioemboli usually go?

Answer 3

bifurcations or to the end at the cortex (goes to major vessels, not small vessels)

Question 4

how can pump cause strokes?

Answer 4

cardioemboli

hypoperfusion

Question 5

sites for lacunes and hemorrhages

Answer 5

basal ganglia
pons
thalamus
centrum semiovale (dep white matter)
cerebellum

Question 6

passengers

Answer 6

clotting can be caused by blood disorders (rare)
large vessel more than small (hypercoagulable states include things like factor V leiden, sickle cell, lupus anticoagulant, polycythemia, DIC, TTP, etc)

Question 7

in cardiac arrest w watershed stroke, what can you anticipate for motor deficit?

Answer 7

can’t move leg and arm (barrel)

Question 8

after global ischemia, cortical edema shows up when

Answer 8

days later after global ischemia

Question 9

lacunar dis doesn’t tend to be punctate: true or false

Answer 9

true

Question 10

cardioembolism pattern on imaging

Answer 10

if had a shower of emboli, would expect to see in all territories (left, right, anterior, posterior)

Question 11

MCA stroke -can see

Answer 11

loss of sensation, plus face arm weakness, plus language deficit

Question 12

if sensory and affects a lot

Answer 12

thalamus

Question 13

if motor and affects a lot

Answer 13

internal capsule, pons