Cerebrovascular Disease

Question 0

What is posterior reversible and encephalopathy syndrome ?

Answer 0

This is most commonly seen with rapid increase in blood pressure and failed cerebral autoregulation and can also be seen in eclampsia and with certain medications i.e. cyclosporine And tactolimud

Question 1

What are the current guidelines for secondary stroke prevention in the setting of PFO?

Answer 1

Anti-platelet therapy

Question 2

What clinical features suggest pituitary apoplexy

Answer 2

Progressive alterations in mental status, headache, visual field defects, cranial nerve palsy and nausea/vomiting The best initial treatment is hydrocortisone

Question 3

What is the CHADS2 risk stratification tool

Answer 3

It helps determine a patients with atrial tribulation should be starting on anticoagulation. The presence of a stroke or TIA results and two points and patience with scores of two or higher should be treated with anticoagulation

Question 4

How much should you lower blood pressure in the setting of hypertensive intracerebral hemorrhage

Answer 4

To at least less than 160/90 with reductions and systolic pressure to 140 felt to be safe

Question 5

What history is suggestive of antiphospholipid antibody syndrome and what abnormal serologic testing is found

Answer 5

History of stroke and multiple miscarriages is suggestive of antiphospholipid antibody syndrome characterized by recurrent pregnancy loss is an venous and arterial thrombosis. Antibodies include anticardiolipin antibody’s lupus anticoagulant and beta – to microglobulin

Question 6

What thalamuc nucleus is involved in hemibody neuropathic pain syndrome with numbness to all sensory modalities and sparing the face and what is this post stroke thalamuc pain syndrome also known as

Answer 6

VPL Dejerine-Roussy syndrome