Stroke Flashcards

1
Q

branches of circle of willis

A
anterior x2
anterior communicating x2
middle x2
posterior communicating x2
posterior x2
basilar
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2
Q

where does ICA originate

A

common carotid - bifurcates at C4

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3
Q

what does ICA travel to brain in

A

carotid sheath

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4
Q

what foramen does ICA pass through to enter cranial cavity

A

carotid canal

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5
Q

where do vertebral arteries originate

A

subclavial arteries

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6
Q

what do vertebral arteries join to make

A

basilar artery

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7
Q

what foramen do vertebral arteries pass through to enter cranial cavity

A

foramen magnum

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8
Q

what does anterior cerebral artery supply

A

anteromedial brain

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9
Q

what does middle cerebral artery supply

A

lateral brain

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10
Q

what does posterior cerebral artery supply

A

medial and lateral posterior brain

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11
Q

contralateral weakness and sensory loss in lover limbs

face spared

A

anterior cerebral artery

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12
Q

contralateral weakness over upper limbs

face involvement

A

middle meningeal artery

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13
Q

strokes in cerebral hemispheres cause problems on ipsilateral/contralateral side

A

contralateral

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14
Q

strokes in cerebellum cause problems inf ipsilateral/contralateral side

A

ipsilateral

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15
Q

weber’s syndrome

A

stroke of branches of posterior cerebral arteries supplying midbrain

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16
Q

clinical features of weber’s

A

ipsilateral CNIII palsy

contralateral weakness of upper and lower extremities

17
Q

Wallenberg syndrome affected branch

A

posterior inferior cerebellar artery

18
Q

clinical manifestations of Wallenberg syndrome

A

ipsilateral face pain and temp loss
contralateral limb/torso pain and temp loss
ataxia and nystagmus

19
Q

lateral pontine syndrome affected branch

A

anterior inferior cerebellar artery

20
Q

clinical manifestation of lateral pontine syndrome

A

ipsilateral face paralysis

deafness

21
Q

what are lacunar infarcts

A

affects vessels around basal ganglia

22
Q

clinical manifestations of lacunar infarcts

A

pure sensory stroke of arm, face, leg or all three

risk of ataxic hemiparesis

23
Q

what is total anterior infarct

A

infarcts of middle and anterior cerebral arteries

24
Q

clinical requirements of total anterior circulation infarct

A

motor deficit
speech deficit
homonymous hemianopia

25
if only 2 of the criteria for total anterior syndrome (eg motor and speech, speech and homonymous hemianopia)
partial anterior
26
investigations for suspected stroke
CT head - differentiate between haemorrhagic and ischaemic
27
intervention for thromboembolic stroke
altepase thrombolysis
28
up to how long after symptoms start can altepase be given
4.5 hours
29
intervention for haemorrhagic stroke
clipping