Stroke and TIA Flashcards
What are the two types of stroke
Ischaemic stroke (common)
Haemorrhagic stroke (less common)
Difference between TIA and stroke
TIA is presence of ischaemia without infarction
A ___ TIA is where there are two or more TIA’s within ___
Crescendo
A week
What is the initial management of stroke before treating? (4)
Admit to stroke centre
Exclude hypoglycaemia
Immediate CT brain to exclude haemorrhage
Aspirin after CT
What is tow types of treatment treatment of a stroke?
Thrombolysis within 4.5 hours
Thrombectomy within 24 hours
What are the two main management options in TIA
Aspirin
Secondary prevention of CVD
What is the gold standard imaging for visualising a stroke?
Diffusion weighted MRI
What imaging modality is used to look for plaques in the carotid artery in a stroke scenario?
Carotid ultrasound
What are the secondary prevention methods for a stroke? (4)
Treat modifiable risk factors
Clopidogrel
Atorvastatin
Carotid surgery in patients with carotid artery disease
What artery in the brain has been occluded if the patient presents with contralateral leg and foot weakness, sensory deficits in the contralateral leg and foot, apraxia, anosmia (lack of smell), loss of urinary continence and a lack of grasp reflex on the contralateral hand?
Anterior cerebral artery
A stroke in what artery presents as weakness of lower half of contralateral face, weakness of upper and lower contralateral extremities, sensory loss of the contralateral face, arm and leg, Broca’s or wernicke’s aphasia, and when the facial defects are greater than the lower limb defects?
Middle cerebral artery
A stroke to which artery results in contralateral homonymous hemianopia, visual agnosia (unable to recognise objects), propagnosia (unable to recognise faces), dyslexia, word retrieval problems, topographic disorientation (inability to orient oneself in one’s surroundings)
PCA stroke
