Stroke rehabilitation Flashcards
features of a total anterior circulation stroke?
all 3 of
cortical signs
homonymous hemianopia
hemiplegia of at least 2 of face, arm, leg ± hemisensory loss
features of a partial anterior circulation stroke
2/3 features of total anterior circulation stroke or isolated cortical dysfunction or pure motor/sensory signs less severe than lacunar infarct
features of a lacunar stroke
affects any 2 of face, arm, leg
features of a posterior circulation stroke
cerebellar deficit without ipsilateral motor/sensory signs cortical blindness isolated homonymous hemianopia conjugate eye movement disorders bilateral motor/sensory deficits cranial nerve palsies
what stroke has the worst prognosis
total anterior circulation stroke
what stroke has the best prognosis
lacunar
causes of ischaemic stroke
microvessel
atheroembolic
cardioembolic
cardioembolic causes of stroke
patent foramen ovale AF acute MI prosthetic valve rheumatic disease arterial dissection
small vessel causes of stroke
atherosclerosis
cerebral amyloid angiopathy
GPA/EGPA
venous collagenosis
causes of a primary intracerebral haemorrhage
hypertension - more deep
amyloid angiopathy - more lobar
causes of a secondary intracerebral haemorrhage
AVM
aneurysm
tumour
ABCD stroke management
antiplatelet/anticoagulant blood pressure cholesterol diabetes dont smoke
how long to give anticoagulant for cardioembolic stroke
lifelong
what antiplatelets to give for ischaemic stroke
2 weeks aspirin then lifelong clopidogrel
