stroke and haemorrage Flashcards
TACI
total anterior circulation infarct
anterior and middle cerebral arteries
TACI symptoms
contralateral side hemiparesis/hemiplegia
OR
contralateral homonymous hemianopia (for left sided lesion, right sided loss of vision)
aphasia - speaking/ understanding people speaking
PACI
partial anterior circulation infarct
anterior OR middle cerebral artery
LACI
Lacunar infarct
small deep arteries of thalamus OR internal capsule
LACI symptoms
clumsy hand syndrome
pure motor OR pure sensory OR both
ataxic hemiparesis
POCI
types
posterior circulation infarct
basilar
weber
wallenburg
Anterior inferior cerebellar artery
basilar artery occulsion symptoms
locked in syndrome
preserved eye mov OR conciousness
webers artery
upper basilar
posterior cerebral
webers symptoms
ipsilateral occulumotor palsy- down and out
contralateral hemiparesis
wallenberg
lateral meduallry syndrom
wallenberg symptoms
horner syndrome- ipsilateral no sweating, drooping eyelid, contracted pupil
contralateral no pain or temp sensation
Anterior inferior cerebellar artery
lateral medullary syndrome
AND
pontine cranial nerve nuclei
treatment of acute stroke <4.5h
IV ateplase
thrombolysis
aspirin within 24h after treatment and CT
clopidegrel 75mg 2 weeks post
statin
treatment of acute stroke >4.5h
aspirin 300mg for 2 weeks
clopidegrel 75mg 2 weeks post
(warfarin if A fib)
statin
subarachnoid hemorrage symptoms
berry anurysm
meningities
post coital/exercise
