Ischemia/Stroke Flashcards

1
Q

Most common complication of berry aneurysm is

A

rupture

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2
Q

berry aneurysm Most common site is ________. Associated with ________

A

junction of ACom and ACA

ADPKD, Ehlers-Danlos syndrome, coarctation of aorta

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3
Q

Obstruction due to HTN:

Rupture due to HTN:

A

Lacunar stroke

CBMA

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4
Q

berry aneurysm occurs at

A

bifurcations in the circle of Willis

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5
Q

Diffusion-weighted MRI can detect ischemia within

A

3–30 min.

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6
Q

Neonatal IVH is due to ________

A

reduced glial fiber support and impaired autoregulation of BP in premature infants

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7
Q

Therapeutic hypothermia

A

32-34’C (89.6-93.2) can be used after hypoxic or ischemic brain injury due to cardiac arrest. it lowers verebral metabolic activity.

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8
Q
Subgleal hemorrhage:
b/w layers
Consistency
extent 
structure damaged
A

►periosteum and gleal aponeurosis
►diffuse, fluctuant
►extends beyond suture lines and potentially into neck
►emissary veins

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9
Q

Cephal hematoma:
b/w layers
Consistency
extent

A

►skull and periosteum
► firm, non-fluctuant
► doesnot cross suture line

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10
Q

Epidural hematoma is limited by

A

suture lines

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11
Q

Subdural hematoma is limited by

A

dural reflections

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12
Q

Most common complication of SAH is

A
  1. ↑ICP

2. Vasospasm

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13
Q

Mostly hemorrhagic stroke due to HTN occur in ________

A

deep brain

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14
Q

Mostly hemorrhagic stroke due to old age/amyloid angiopathy occur in _____

A

cortex

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15
Q

Hypertensive hemorrhages (Charcot-Bouchard microaneurysm) most often occur in

A

(PTPC)

putamen of basal ganglia (lenticulostriate vessels), followed by thalamus, pons, and cerebellum .

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16
Q

Intraparenchymal hemorrhage: Most commonly caused by ______

A

systemic hypertension

17
Q

Parietal lobe hemorrhage:

Frontal lobe hemorrhage:

A

contralateral hemisensory loss

contralateral hemiparesis

18
Q

Only motor or only sensory loss rules out which arteries?

A

MCA, ACA

19
Q

____ is specific for PICA

A

Nucleus ambiguous IX, X,XI

20
Q

_____ is specific for AICA

A

Facial nucleus

21
Q

Pure motor contralateral paralysis in the absence of cortical signs → lesion of _____

A

internal capsule (posterior limb)

22
Q

Locked in syndrome + preserved consciousness (RAS sparing) → _____
Locked in syndrome + coma (RAS incolved) → _____

A

► Basilar artery

► pontine arteries