stroke

Question 1

TACS

Answer 1

–hemiparesis,hemisensoryloss, hemianopia and higher cortical dysfunction

usually cardiac emboli

Question 2

• PACS

Answer 2

–two of hemiparesis, hemi sensory loss, hemianopia and higher cortical dysfunction

or higher cortical dysfunction only

usually large vessel disease eg carotids

Question 3

LACS

Answer 3

–puremotor (post limb of internal capsule)
- puresensory (post thalamus)
- motorsensory (internal capsule)
ataxic hemiparesis
usually small vessel disease ie atheroma in situ

Question 4

POCS

Answer 4

–posterior circulation event:

Cranial nerve palsy and a contralateral motor/sensory deficit
Bilateral motor/sensory deficit
Conjugate eye movement disorder (e.g. horizontal gaze palsy)
Cerebellar dysfunction (e.g. vertigo, nystagmus, ataxia)
Isolated homonymous hemianopia

cause can be anything

Question 5

Complications of stroke

Answer 5

Recurrent stroke
Complications of immobility (bed sores, VTE, constipation)
Raised intracranial pressure (malignant oedema, hydrocephalus, heamorr. transform)
Infections
Mood and other cognitive issues
Post stroke fatigue
Post stroke pain
Spasticity&contractures, secondary epilepsy

Question 6

Complications of stroke prevention

Answer 6

Anticipation

SURVEILLANCE
Daily review of obs, mood, chest, legs, bowel and urine function, and progress of impairments

Timely bloods

Question 7

how to know if endovascular therapy indicated?

Answer 7

modified rankin score

can radiologically get merci or solitaire stents