Primary Care Neurology lecture notes Flashcards
What is the definition of a stroke?
A clinical syndrome caused by cerebral infarction or haemorrhage, typified by rapidly developing signs of focal and global disturbance of cerebral function lasting more than 24 hours or leading to death
What is the definition of TIA?
An acute loss of cerebral or ocular function with symptoms lasting less than 24 hours caused by an inadequate cerebral or ocular blood supply as result of low blood flow, ischaemia or embolism associated with disease of the blood vessels, heart or blood
How many people per year in England have a stroke?
110,000
What are some differential diagnosis for stroke?
Hypoglycaemia
Labyrinthine disorders
Migrainous aura
Mass lesions
Postictal weakness
Simple partial seizures
Functional hemiparesis
How do you risk assess for another TIA or stroke after initial TIA?
ABCD2
Age (60+)
Blood pressure
Clinical features (unilateral weakness, speech)
Duration
Diabetes
What is considered a high risk ABCD2 score?
4 or more
or one of:
AF
More than one TIA in 1 seek
TIA whilst on an anticoagulant
Is primary care the same as general practice?
No
