ischaemic stroke

Question 1

TACI

Answer 1

• contralateral hemiparesis
• contralateral homonymous hemianopia
• aphasia, neglect

Question 2

Wallenberg’s syndrome

Answer 2

ipsilateral Horner’s syndrome
ipsilateral loss of pain and temp from face
contralateral loss pain and temp from body

Question 3

Weber’s syndrome (proximal posterior cerebral arteries)

Answer 3

ipsilateral oculomotor nerve palsy

contralateral hemiparesis

Question 4

when is alteplase indicated

Answer 4

present within 4.5hrs

no contraindications to thrombolysis

Question 5

when can mechanical thrombectomy be performed

Answer 5

anterior circulation stroke
within 6hrs onset
good baseline function
no significant early infarct on CT

Question 6

aspirin

Answer 6

if hyperacute treatments not offered, give aspirin 300mg OD for 2wks

if hyperacute rx given, aspirin start 24hrs

Question 7

secondary stroke prevention

Answer 7

antihtn - 2wk post stroke
clopidogrel
statin