1.55 Case 30 Flashcards
1
Q
Define stroke…
A
‘sudden onset of a focal or global neurological impairment of over 24 hours duration (or leading to death) of presumed vascular origin’
2
Q
Define TIA…
A
‘acute loss of focal cerebral or monocular function lasting less than 24 hours thought to be due to inadequate cerebral or ocular blood supply as a result of arterial thrombosis or embolism associated with arterial, cardiac haematological disease’
3
Q
What percentage of stroke are due to ischeamia?
A
85%
4
Q
Explain TACS…
A
Total anterior circulation stroke Main artery to one hemisphere • Complete hemiparesis / numbness • Loss of vision on one side • Loss of awareness of one side • Dysphasia if dominant side
5
Q
Explain PACS…
A
Partial anterior circulation stroke Branch of the main artery • Face &/or arm &/or leg weak / numb • One higher deficit: • Inattention or dysphasia
6
Q
Explain LACS…
A
LACunar Stroke Small perforating artery Movement and sensation pathways • Weakness / numbness of: • Face + Arm + Leg • or Face + Arm or Arm + Leg No effect on higher function
7
Q
Explain POCS…
A
Any posterior artery
• Loss of balance / co-ordination
• Vertigo
• Double vision
• Dysarthria
Visual loss
8
Q
Explain TIA…
A
- Temporary blockage which resolves spontaneously
* Usually
