stroke

Question 1

What is a stroke

Answer 1

A blocked or ruptured vessel in the brain causing a Neurological deficit of sudden onset lasting more than 24 hours

Question 2

What is the most common cause of stroke in the brain

Answer 2

An embolus coming from atrial fibrillation

Question 3

What is the presentation of a total anterior circulation stroke

Answer 3

Obstructed anterior and middle cerebreal arteries which causes:
* Limb weakness
* sensory and motor dysfunction
* visual dysfunction

Question 4

What is the presentation of a partial anterior circulation stroke

Answer 4

Part of the middle cerebral artery is obatructed:
Only one of the following:
- Limb weakness
- sensory and motor dyfunction
- Visual dysfunction

Question 5

What is the presentation of a lacunar stroke

Answer 5

Isolated limb weakness and no other nerurological deficits

Question 6

What is th presentation of a posterior circulation stroke

Answer 6

Posterior cerebral artery affected - balance and visual signs

Question 7

What are symptoms of anterior cerebral artery occlusion

Answer 7

• Paralysis and sensory loss of contra-lateral foot and leg
• Gait impairment

Question 8

What is the presentation of a middle cerebral artery stroke

Answer 8

• Contra lateral motor and sensory impairment of face, arm and leg
• Contralateral homonymous hemianopia
• aphasia if dominant side stroke
• agnosis

Question 9

What is the treatment of an ischaemic stroke

Answer 9

Thrombolysis - alteplase or tenectoplase