cerebral infarction Flashcards
TIA is when the symptoms stop within
24 hours
causes of ischaemic stroke
large artery atherosclerosis
thrombosis (small vessel occlusion)
cardiac emoli (AF)
causes of haemorrhagic stroke
primary intracerebral haemorrhage
secondary haemorrhage (subarachnoid etc)
hypoxia stresses the brain cells
metabolism
non modifiable risk factors
old age
men
previous stroke
bad family history
what is the most important modifiable risk factor for cerebral stroke?
hypertension
modifiable risks factors for cerebral stroke
diabetes
hypertension
smoking
lipids
alcohol
obesity
inactivity
oral contraceptives
symptoms of Anterior cerebral artery occlusion
contra-lateral paralysis of foot and leg
differential diagnosis of stroke
bells palsy
hypoglycaemia
intracranial masses
vestibular disease
migraine
demented patients with UTIs
clinical presentation of brain tumours
raised ICP
focal neurological defect
epileptic fits
CSF obstruction
raised ICP symptoms
headache
nausea/ vomiting
visual disturbance
cognitive impairment
altered consciousness
what are signs of a raised ICP?
papilloedema
6th and 3rd nerve palsy
altered consciousness
cognitive impairment
symptoms of brainstem dysfunction
coma/vertigo/nausea/vomiting
visual field defects
hemisensory loss
treating strokes can be by
anti-hypertensives
anti-platelets