Cerebrovascular Disorders

Question 1

Acute deficits, specific to location of occlusion

Answer 1

Vertebrosailar occlusion

Question 1

Acute onset N/V, disequilirbium, HA, LOC, may have focal deficits Surgery

Answer 1

Intracerebral hemorrhage

Question 1

Progresses to subarchnoid hemorrhage. Mostly asymptomatic until rupture, focal deficits prior to rupture. Most found on anterior circle of willis, cerebral artery and internal carotid

Answer 1

Intracranial aneurysm

Question 3

-Obstruction of small arteries in basal ganglia, pons, cerebellum, internal capsule, thalamus -Pure motor, or pure sensory deficit contrallaterally. Ipsilateral ataxia. Dysarthria w/ hand clumsiness Partial/complete resolution in 4-6 weeks

Answer 3

Lacunar stroke

Question 4

Acute focal neuro deficits which resolve w/in 24hrs. Dysphagia, weakness, etc. 1/3 will go on to have stroke

Answer 4

TIA

Question 5

Focal deficits, sz’s, hemorrhage, obtundation Occurs at arterial bifurcations. Often multiple.

Answer 5

AV malformation/ Saccular (Berry) aneurysm

Question 7

Acute onset, minimally progressing symptoms. Contralateral hemiplegia, hemisensory loss.

Answer 7

Carotid Artery Obstruction

Question 8

Sudden unilateral loss of vision which returns after a few seconds to minutes -Tx: CCB, ASA, carotid angioplasty, anticoagulation

Answer 8

Amaurosis fugax

Question 9

Acute, “worst HA of life,” obtundation, focal deficits often ABSENT. Nuchal rigidity.

Answer 9

Subarachnoid hemorrhage

Question 10

Supraclavicular bruits, unequal radial pulses and BPs, dizzy/vertigo, slurred speech, hemiparesis, syncope with arm exertion -Localized stenosis/occlusion of subclavian artery–>retrograde flow in vertebral artery

Answer 10

Subclavian steal syndrome