Introduction to Stroke Flashcards

1
Q

Why study stroke?

A

It is the 3rd leading cause of death after cancer and heart disease

To increase our understanding of the pathophysiology

Understand the impact that stroke can have on

  • Healthcare system
  • Families
  • Individual

To develop effective prevention and intervention

Because it is interesting

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2
Q

Which areas of psychology can be related to stroke?

A

Neuroscience

Cognitive psychology

Sleep

Memory

Mood

Health psychology

Social psychology

  • Relationship dynamics
  • Personality

Clinical psychology
- Depression

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3
Q

What is the frontal lobe associated with?

A

Motor cortex

Judgement

Inhibition

Personality

Emotions

Language production

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4
Q

What is the parietal lobe associated with?

A

Sensory production

Orientation

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5
Q

What is the temporal lobe associated with?

A

Auditory perception

Memory

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6
Q

What is the brainstem associated with?

A

Regulation of autonomic function

Breathing

Heart function

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7
Q

What is the cerebellum associated with?

A

Coordination of movement

Posture

Balance

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8
Q

What is the occipital lobe associated with?

A

Vision

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9
Q

The brain requires how much of the body’s oxygen and how much of the cardiac output?

A

20% oxygen

15% cardiac output

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10
Q

What is a stroke?

A

An interruption to the blood supply in the brain

Causes significant cell death in the areas no longer receiving oxygen and nutrients

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11
Q

Classification of stroke

A

Ischaemic

Haemorrhagic

Transient Ischaemic Attack (TIA)

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12
Q

Ischaemic stroke

A

Most common

Blockage that stops the blood flow to the brain

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13
Q

Causes of ischaemic stroke

A

Cerebral thrombosis

Cerebral embolism

Systemic hyper perfusion

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14
Q

Cerebral thrombosis

A

Blood clot formed in one of the main arteries of the brain

Forms within the brain itself

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15
Q

What is an infarction?

A

An area of dead cells

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16
Q

Cerebral embolism

A

Blood clot forms in a different area of the body and travels up to the brain

17
Q

What is the donor site?

A

Where the embolus formed

18
Q

What is the recipient site?

A

Where the embolus gets stuck and causes a blockage

19
Q

Systemic hypoperfusion

A

General reduction in blood supply around the body

Due to less cardiac output

Can affect all areas of the brain

20
Q

Haemorrhagic stroke

A

Bleed into the brain

21
Q

Types of haemorrhagic stroke

A

Intracerebral haemorrhage

Subarachnoid haemorrhage

Epidural haemorrhage

22
Q

Intracerebral haemorrhage

A

Blood vessels deep within the brain erupt

23
Q

Subarachnoid haemorrhage

A

Blood vessels have erupted between the brain and the skull

Bleeding occurs in the subarachnoid space

24
Q

Epidural haemorrhage

A

Blood vessels have erupted between the brain and the skull

Bleeding occurs between the dura mater and the skull

25
What can cause haemorrhagic stroke?
Aneurysms - bulges in blood vessels that form due to weakened vessel walls High blood pressure can lead to these aneurysms bursting and causing a bleed
26
Transient Ischaemic Attack
Temporary loss of blood supply to the brain which resolved itself
27
How does a TIA resolve?
Blood clot dissolves itself and blood flow is restored
28
Stroke in the left hemisphere of the cerebrum
Weakness/paralysis in the right side Cognitive problems
29
Stroke in the right hemisphere of the cerebrum
Weakness/paralysis in the left side Visual/perception problems
30
Stroke in the cerebellum
Balance and coordination problems
31
Stroke in the brainstem
Breathing Heart beat Swallowing problems
32
How would you know someone is having a stroke?
Numbness or weakness in the face, arm or leg, especially in just one side of the body Confusion including trouble speaking Trouble seeing Dizziness Headache
33
What factors can determine the severity of a stroke?
The time before you get treatment The artery which is affected Other medications - Blood thinners would cause more bleeding in a haemorrhagic stroke
34
What area being affected causes numbness?
The primary somatosensory cortex
35
What area being affected causes movement problems?
The motor cortex
36
What artery is blocked if you have trouble speaking?
Middle cerebral artery Supplies Broca's area (production of speech) AND Wernicke's area (speech which doesn't make sense)
37
Where would the stroke have occurred to cause balance problems?
In the cerebellum
38
Why may you get a headache when having a stroke?
Blood accumulates and the brain presses against the skull, causing pain