SBAs Flashcards
List 4 main risk factors for haemorrhaging stroke
Hypertension
Anticoagulant therapy
Cocaine and amphetamines
AVMs
What is the definition of a total anterior circulation infarct
Contralateral hemiplegia or Hemiparesis AND
Contralateral homonymous hemianopia AND
Higher cerebral dysfunction
What is the definition of an anterior circulation infarct
Higher cerebral dysfunction alone
Or
2 of the following:
Contralateral hemiplegia or hemiparesis
Contralateral homonomous hemianopia
Higher cerebral dysfunction
Define a lacunae infarct
Pure motor or pure sensory stroke affecting the small deep perforating arteries
Describe a posterior circulation infarct
Cerebellum dysfunction or Conjugate eye movement disorder or Bilateral motor/ sensory deficit or Ipailateral CN palsy with contralateral motor/ sensory deficit or Cortical blindness/ isolated hemianopia
If it is a partial anterior circulation infarct which artery is affected
ACA or MCA
If it is a total anterior circulation infarct which arte by is affected
Both ACA and MCA
CT of haemorrhages stroke shows what type of lesion
Hyper intense lesion
Which haemorrhage is common in aneurysms
SAH
Which haemorrhage is common in elderly fallers
Subdural haemorrhage
Young and had trauma which haemorrhage
Extradural haemorrhage
Treat stroke ischaemic
Within 4.5 hours and no contraindications - thrombolysis With alteplase
If ct shows haemorrhage how do you treat
Discuss with neurosurgery and control BP
What if the CT head shows nothing and is normal despite clinical features or if they are not within thrombolysis windows
Give 300mg aspirin for 2 weeks then 75mg clopidogrel
What can you consider if there is a large vessel thrombus on CT
Thrombectomy
