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Neuro > cerebral infarction > Flashcards

cerebral infarction Flashcards

1
Q

causes of ischaemic stroke

A

large artery atherosclerosis
cardioembolic
small artery occlusion

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2
Q

causes of haemorrhagic stroke

A

1ry intracerebral haemorrhage

2ry heamorrhage - SAH, AV malformation

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3
Q

modifiable risk factors

A 
smoking
OCP
obesity 
sedentary 
diet
htn 
AF
cocaine 
diabetes
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4
Q

non-modifiable risk factors

A

prev stroke
male
family history
age

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5
Q

frontal lobe functions

A 
higher level cog functions
memory 
voluntary eye movement
motor cortex
motor control speech 
urinary continence
emotion and personality
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6
Q

parietal lobe functions

A 
sensory cortex
sensation 
awareness body 
spatial orientation
ability perform learned motor tasks (dom)
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7
Q

temporal lobe functions

A

auditory receptive area

comprehension speech - wernickes

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8
Q

anterior cerebral artery stroke

A

Leg > arm weakness

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9
Q

middle cerebral artery stroke

A

face + arm > leg weakness

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10
Q

cerebellum functions

A

balance and coordination

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11
Q

brainstem functions

A

eye movement
breathing
swallowing
heartbeat

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12
Q

occipital lobe function

A

primary visual cortex

visual perception

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13
Q

presentation: sudden onset loss of function

A 
motor - clumsy/weak limb
sensory - loss
speech - dysarthria/dysphagia
neglect
hemianopia 
gaze palzy
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14
Q

TACS

A

blocked ICA or MCA

3/3 of

  • hemiparesis/numbness
  • hemianopia
  • inattention (non-dom) or dysphagia (dom)
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15
Q

PACS

A

2/3 TACS or one higher cortical deficit

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16
Q

LACS

A

weakness/numbess of face, arm, leg

no effect higher function

17
Q

POCS symptoms

A 
loss balance/coordination 
vertigo
double vision 
dysarthria
hemianopia
18
Q

management options

A

IV tissue plasminogen activator
aspirin
thrombectomy

19
Q

secondary prevention

A 
anti-htn 
anti-platelets
statin 
warfarin for AF
carotid endarterectomy

Neuro (53 decks)

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