Stroke

Question 1

What are the symptoms of carotid territory?

Answer 1

Weakness of face, leg, arm
Amaurosis fugax
Impaired language

Question 2

What are the symptoms of posterior circulation?

Answer 2

Dysarthria, Dysphagia, Diplopia, Dizziness, Ataxia and Diplegia

Question 3

What scoring system is used for stroke in emergency setting?

Answer 3

ROSIER
Recognition of stroke in emergency room

Question 4

Why is losing consciousness in stroke so unlikely?

Answer 4

Have to have a Brainstem/Double Hemisphere stroke and be able to repair itself

Question 5

What are some of the main RF for stroke?

Answer 5

Smoking
Anti-Coagulants (Haemorrhagic)
DVT (Paradoxical Embolus)
AF
HRT
Hypertension
DM
Male

Question 6

What is one of the main first line treatments for stroke?

Answer 6

High Dose Aspirin

Question 7

What investigations are done following a TIA?

Answer 7

MRI (and ECG and Carotid Doppler)

Question 8

What are positive and negative features?

Answer 8

Positive: addition of something e.g. Tingling, floaters
Negative: removal e.g. Blindness, numbness

Question 9

What term refers to why Lesions can be Forehead sparing?

Answer 9

Bilateral supranuclear innervation

Question 10

What is neglect?

Answer 10

Pt with stroke forgets that e.g. arm is there. (May only eat half a meal)