Stroke

Question 1

Complications of Intracellular Haemorrhage

Answer 1

Local damage
Local mass effect/herniation related to raised ICP
Hydrocephalus

Question 2

Management of Intracellular Haemorrhage

Answer 2

Cause
Stop aspiring or warfarin
Treat complications + RFs
Rehab

Question 3

Small vessel stroke

Answer 3

Lacunar

Question 4

Ischaemic cascade

Answer 4

Treatment aims to save maximum cells in penumbra region

Question 5

Risks for stroke

Answer 5

Age, male, race, socioeconomic status
Smoking, weight, inactivity, alcohol
Hypertension, hypercholesterolaemia, diabetes, vascular disease

Question 6

1mm/L decrease in LDL cholesterol

Answer 6

15% decrease in risk of stroke

Question 7

Pyramidal system

Answer 7

primary motor cortex –> internal capsule –> cerebral peduncles –> decussation of pyramids –> descending CS

Question 8

What strokes caused visual defects

Answer 8

PCA

MCA

Question 9

Anterior circulation stroke

Answer 9

TACI/PACI
Unilateral motor deficit
Homonymous hemianopia
Higher cerebral function

Question 10

Posterior circulations stroke

Answer 10

POCI
Pure hemianopia
Cerebellar signs
Bilateral/crossed sensorimotor signs
Diplopia and CN palsy

Question 11

Lacunar stroke

Answer 11

LACI
Pure motor
Pure sensory
Ataxic hemiparesis

Question 12

Thrombolysis

Answer 12

20% patients suitable

Question 13

Management

Answer 13

5% patients suitable for thrombectomy