Stroke Flashcards
Ischaemic Stoke
TBC
Small vessel stroke
TBC
Left parieto-occipital infarct
TBC
Parietal lobe infarct
TBC
Lacunar Syndromes
TBC
Amyloid angiopathy
TBC
Lacunar infarcts
TBC
Thalamic infarcts
TBC
How do MCA strokes typically present?
MCA strokes typically present with the symptoms individuals associate most commonly with strokes, such as unilateral weakness and/or numbness, facial droop, and speech deficits ranging from mild dysarthria and mild aphasia to global aphasia.
What is a subdural hematoma?
A buildup of blood on the surface of the brain.
What is a spinal stroke?
A disruption of blood supply to the spinal cord.
What is a subarachnoid haemorrhage?
Bleeding in the space between your brain and the surrounding membrane (subarachnoid space).
Describe the presentation of subarachnoid haemorrhage.
The primary symptom is a sudden, severe headache. There may also be nausea, vomiting and a brief loss of consciousness
How will a basal ganglia infarct present?
A basal ganglia stroke affects the part of the brain that controls movement, perception, and judgement.
Roughly what part of the spine does a C6 fracture effect?
A C6 spinal cord injury affects the cord near the base of the neck
What is a cerebral infarction also called?
An ischaemic stroke
What are 4 points of routine monitoring you always check in stroke patients?
- Lipid Studies
- HbA1c
- Swallowing status
- Bowel Use
How may a parietal stroke present?
Impairment of speech, thought, coordination, and movement
What is a cerebrovascular accident?
The medical term for stroke.
What is crescendo TIA?
Crescendo TIA is a term commonly used to describe multiple recurrent episodes of TIA over hours to days.
Describe the prevalence of MCA accident
The MCA is by far the largest cerebral artery and is the vessel most commonly affected by cerebrovascular accident
How long is VTE prophylaxis routinely held for post haemorrhagic stroke?
48 hours
How long after haemorrhagic stroke can anticoagulation be charted?
TBA
How long after haemorrhagic stroke can antiplatelets be charted?
TBA
Describe the acute management of blood pressure following an ischaemic stroke
Patients with acute ischaemic stroke with blood pressure > 220/120 mmHg should have their blood pressure reduced by no more than 20% over the first 24 hours.
What is a lacunar stroke?
A stroke that occurs when one of the arteries that provide blood to the brain’s deep structures is blocked
If a patient on HRT has a stroke, what should be done?
You should cease HRT.
Describe the role of antiplatelet therapy in embolic stroke.
Antiplatelets are not used in the management of embolic stroke unless they are needed for another indication (such as stenting).
What should you always do if you see a patient on an antiplatelet post embolic stroke?
You should always query the indication.
