yellow pages: stroke Flashcards
70 yo right-handed woman with longstanding HTN and T2DM presents with sudden face, arm, and leg weakness. No sensory, visual, or speech deficits.
Small vessel occlusion in internal capsule (lacunae); tx with aspirin
24yo IVDA p/w fever, SOB; loud diastolic murmur; blood cultures grow S. aureus; w/in 24 hours he c/o sudden severe HA and becomes less alert; right leg moves less than left leg
hemorrhagic conversion of embolus; tx with antibiotics
55yo male h/o etoh abuse awakens to find R arm is “lame,” on exam, has weak elbow extension (finger, wrist<elbow); no sensory loss; rest of neuro exam is normal
Sat. night palsy, tx with splint
60yo man p/w sudden vertigo, dysphagia, L facial numbness; has R arm and leg numbness, L facial numbness, L palatal paresis, L horner’s, R-beating nystagmus
lateral medullary syndrome (Wallenberg) due to VA or PICA occlusion; tx with warfarin
65yo male p/w 2d history of fluctuating facial and arm numbness; for last 12h has been weak in face, arm, and leg of symptomatic side, significant sensory deficit on that side as well
ICA occlusion, tx with aspirin
58yo woman w h/o a fib has refused to take coumadin, has become forgetful in last few months, says she’s bumping into walls
vascular dementia, tx with coumadin
81yo F with broken hip p/w confusion and agitation in hospital; all limbs are strong, but she has inferior quadrantanopia and sensory neglect
recent embolism to MCA branch
68yo lawyer has seizure disorder since stroke several years ago; he is in a fib on coumadin, digoxin, phenytoin; fell down during witnessed seizure and has become less alert over next few hours
Subdural hematoma; neurosurg. intervention
60yo male w/episode of weakness in RUE and difficulty w/word finding that resolved completely w/in 30 min; has HTN that is intermittently well-controlled; soft L carotid bruit is heard; dopplers show 75% narrowing of LICA; echo is normal
tx with endarterectomy
28yo F who is 38w pregnant develops HA, lethargy, and then has generalized seizure
venous sinus thrombosis, tx with warfarin
