Sos- Stroke Flashcards

1
Q

Damage to the brain due to a decreased oxygen flow to areas of the brain and spinal cord

A

stroke

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2
Q

2 main types of stroke

A

hemorrhagic
ischemic

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3
Q

stroke that happens with no damage seen on histology, but does clue you in on future strokes

A

Transient ischemic attack (TIA)

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4
Q

Sudden loss of balance
Sudden loss of vision in one or both eyes
Difficulty talking
Facial droop
Sudden muscle weakness

A

stroke

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5
Q

high bp
high cholesterol
type II diabetes
tobacco/vaping

A

increases risk of stroke

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6
Q

Normal is 60-100 mmHg

A

cerebral perfusion pressure

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7
Q

mean arterial pressure (MAP) – Intracranial pressure (ICP)

A

CPP

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8
Q

normal ICP

A

5-10 mmHg

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9
Q

2(DBP)+ SBP/3

A

MAP

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10
Q

CPP below 60

A

ischemia (coma)

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11
Q

the main regulator of blood flow in the brain

A

CO2

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12
Q

increase in ______ means increase in blood flow in the brain

A

CO2

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13
Q

body’s response to elevated ICP

A

Cushing’s Triad

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14
Q

cushing’s triad:

A

bradycardia
Cheyne-Stokes respirations
elevated SBP

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15
Q

“red and dead” neurons

A

stroke

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16
Q
A

stroke

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17
Q

most common artery that gets occluded

A

middle cerebral artery

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18
Q

80% of blood to brain is supplied by what

A

cerebral arteries (MCA and ACA)

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19
Q

most common vessel involved in ischemic stroke

A

MCA

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20
Q

MCA stroke causes loss of blood flow to R parietal lobe (dont see L side of body)=

A

hemineglect syndrome

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21
Q

stroke involving _____ has vision deficits

A

PCA (posterior cerebral a.)

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22
Q

pt strokes, but it began in the heart

A

Afib not properly controlled w/ meds; clot forms; goes to brain

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23
Q

problems w/ speech and understanding language
R side neglect

A

Left MCA stroke

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24
Q

most common cause of stroke

A

cardiogenic

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25
Q

second most common cause of stroke

A

obstruction in carotids

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26
Q
A

MCA infarct

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27
Q

what does MCA stroke affect

A

upper extremities and face

28
Q

what does ACA stroke affect

A

lower extremities

29
Q

learn

A
30
Q

___ limb of IC deals with higher cortical function

A

anterior

31
Q

___ limb of IC deals with extremities

A

posterior

32
Q

top 3

A

L: callosomarginal a
middle and R: pericallosal a

33
Q

vision problems and short term memory problems with this stroke

A

PCA (short term memory due to parahippocampal gyrus)

34
Q
A

ACA infarct

35
Q
A

posterior infarct

36
Q
A

watershed zone infarct

37
Q
A

watershed zone infarct

38
Q

due to small deep penetrating arteries
(lenticulostriate arteries)

A

hemorrhagic stroke (HTN)

39
Q
A

charcot-bouchard aneurysm

40
Q

_____leads to dilation of these vessels forming Charcot-Bouchard aneurysms and possible rupture

A

HTN

41
Q
A

hemorrhagic stroke

42
Q
A

interventricular bleed (HTN stroke)

43
Q
A

interventricular bleed

44
Q

most common areas for berry aneuryms

A

circle of willis

45
Q

top artery

A

basilar a

46
Q

____ aneurysms can be surgically repaired

A

saccular

47
Q

worst headache of my life, thunderclap headache
(subarchanoid hemorrhage) caused by what

A

rupture of saccular (berry) aneurysm

48
Q

____% of subarachnoid hemorrhages from rupture of saccular aneurysm in anterior circulation

A

90%

49
Q

where is the blood

A

in Sylvian fissure

50
Q

where is the blood

A

subarachnoid hemorrhage around midbrain

51
Q

where is the blood

A

around the pons

52
Q
A

MCA aneurysm and hemorrhage (anterior circulation)

53
Q

point out:
supramarginal gyrus
angular gyrus
pre and postcentral gyrus
inferior frontal gyrus

A
54
Q
A

top L: anterior limb of IC
bottom L: nucleus accumbens
top R: septum pellucidum
next: caudate nucleus
next: Putamen
next: septum

55
Q

what is abnormal

A

gyral loss

56
Q
A

top L: caudate nucleus
next: lateral medullary lamina
next: globus pallidus
next: amygdala
top R: lateral fissure
next: fornix
next: claustrum
next: hippocampus

57
Q

what part of IC

A

posterior limb (thalamus is medial to it)

58
Q

point out:
cerebral aqueduct
parahippocampal gyrus
uncus

A
59
Q

point out corona radiata

A
60
Q

what is lit up

A

corona radiata

61
Q

what view

A

midbrain (mickey mouse)

62
Q

name the middle structures

A

caudate
IC
putamen
thalamus

63
Q

learn

A
64
Q

point out:
parts of brainstem
thalamus
hypothalamus
lateral ventricle
corpus callosum
cingulate gyrus
paracentral lobule/gyrus

A
65
Q

if anterior cerebral a. is obstructed, what is the main gyrus affected

A

paracentral lobule (lower extremities affected)