acute stroke

Question 1

types of stroke

Answer 1

ischemic stroke - most common
subarachnoid hemorrhage - high mortality
intracerebral hemorrhage

Question 2

signs of acute stroke

Answer 2

SUDDEN onset of symptoms:

• numbness/weakness in face, limbs
• blindness in eye(s)
• confusion, trouble speaking/understanding
• trouble walking, dizziness, loss of balance/coordination

Question 3

risk factors of acute stroke*

Answer 3

• hypertension - impt!!
• DM
• smoking
• familial hyperlipidemia

Question 4

hypertension causing stroke

Answer 4

increase risk by 4 times

present in 70% of stroke pts

Question 5

DM causing stroke

Answer 5

associated w/ htn

worser prognosis also

Question 6

smoking causing stroke

Answer 6

increase risk by 3.5 times

especially in women

Question 7

hyperlipidemia

Answer 7

high cholesterol levels -> increase risk in coronary artery disease -> stroke

Question 8

antiplatelet used in what situation

Answer 8

ischemic stroke

have to take note of stroke mimicry caused by bleeding - cause if give antiplatelets will end up with more bleeding

Question 9

treatment of acute stroke

Answer 9

antiplatelet
brain scanning (CT/MRI) WITHIN 24 HOURS)
- treat the HTN
- neurosurgical assessment of pts w/ large cerebral stroke, acute hydrocephalus, cerebral hemorrhage
- treat fever
- glycemic control

Question 10

inclusion criteria for rTPA (recombinant tissue plasminogen activators treatment)

Answer 10

unenhanced head CT does not show hemorrhage

given within 4.5hrs of onset

Question 11

CT early signs of acute MCA infarct

Answer 11

• hypodensity in brain tissue
• obscuration of lentiform nucleus (blurs)
• swelling
• insular ribbon
• dense MCA