oxford stroke classification

Question 1

what criteria should be assessed for the oxford stroke classification

Answer 1

unilateral hemiparesis and/or hemisensory loss of the face, arm and leg
homonymous hemianopia
higher cognitive dysfunction (dysphasia)

Question 2

oxford classification of total anterior circulation infarcts (TACI)

Answer 2

involves middle and anterior cerebral arteries
all three present:
1. unilateral hemiparesis and/or hemisensory loss of the face, arm and leg
2. homonymous hemianopia
3. higher cognitive dysfunction (dysphasia)

Question 3

oxford classification of partial anterior circulation infarcts (PACI)

Answer 3

involves smaller arteries of anterior circulation (upper or lower division of MCA)
2 of the criteria:
1. unilateral hemiparesis and/or hemisensory loss of the face, arm and leg
2. homonymous hemianopia
3. higher cognitive dysfunction (dysphasia)

Question 4

lacunar infarcts (LACI)

Answer 4

involves perforating arteries around the internal capsule, thalamus and basal ganglia
presents with 1 of the following:
1. unilateral weakness (and/or sensory deficit) of face and arm, arm and leg or all three.
2. pure sensory stroke.
3. ataxic hemiparesis

Question 5

posterior circulation infarcts (POCI)

Answer 5

involves vertebrobasilar arteries
presents with 1 of the following:
1. cerebellar or brainstem syndromes
2. loss of consciousness
3. isolated homonymous hemianopia