Carotid Disease Flashcards
1
Q
Ischemic stroke
- major cause
- risk factors for carotid circulation
- presentation
A
AF, carotid atherosclerosis
Age Male DM HTN High lipids Smoking
2
Q
Carotid atherosclerosis => CVA presentation
A
Sudden limb weakness
Amarosis fugax - visual changes due to ischemia in opthalmic artery
MCA most often affected
3
Q
Dominant MCA stroke presentation
Non dominant MCA stroke presentation
A
Contralateral hemiparesis/sensory loss
Hemianopia
Dysarthria
Dominant - aphasia
Non dominant - neglect
4
Q
Investigations
When is carotid endarterectomy indicated
A
CT angiogram
- symptomatic 50-99% within 2wks
- asymptomatic 60-99%
