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brain recieves _% of CO an d-% of O2 |
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*brain has little glycogen |
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*flow to brain is autoregulated, what is |
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*blood flow to brain is 50ml/min |
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hypoxia of BP < _ can stimulate blood flow to brain- problem is _ causes loss of conciousness |
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impaired blood flow to brain |
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2 mian forms of stroke- which is more common whihc more severe |
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hemorrhage ischemia ischemic hemorrhagic |
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*risk factors for stroke overlap with cardiovasc disease like age, smoking, diabetes, htn |
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stroke is _ leading cause of death |
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in the US, strokes overlap with |
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cardiac arrest= _ ischemia to brain |
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stroke is _ ischemia to brain |
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hemorrhagic can occur in what 2 placces |
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what test is good to diff hemorr and ischm which appears earlier? |
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3 hemorrhages causes by tramua |
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Definition
epidural subduralsubarachnoid |
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most common cause of non tramutic hemorrhagic strokre- |
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increases _ causes water influx in hemorrhagic stroke |
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increased _ can collapse vessles in hemorr stroke |
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what causes oxidative damamge in hemorr stroke |
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Fe (normal protection from O2 stress not present in this brain part) (brain may be discolored for yrs) |
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parenchymal hemorrhages are most often due to? what parts of rain most often hit-3 |
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Definition
HTN basal ganglia, thalmus, pons |
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brain is supplies by what artiereis-2 |
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the arteris that supply the brain converge at the _ |
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what 2 arteries in the brain coem fromt he carotid? which one comes from the basilar? |
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which artery supplies 80% of blood to hemispheres? why is this important? |
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characterisitcs of emboli in ACA |
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paresis loss contralateral in leg and foot |
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Definition
aphasia, unilateral motor dysfunction |
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visual distb, memory dysfnct |
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basilary artery occulsion can cause occulomotor and balance problems |
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vertebral artey occulsion can produce effects like basilar artery |
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major risk factor for thrombus is- |
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chronic HTN causes waht to degenerate -when the tissue around degnerates its called |
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Definition
small vessesl deep in brain lacunar infarcts |
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what are the prinicpal fidning of soeone with vascular demementia |
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stroke is deficit that last sfor how long |
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transient ischemic attack is deficit that- |
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2 types of cell death in vessel occlusion for stroke- |
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hich cell death occurs at the core |
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which cell death has cell swelling and lysis |
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which cell death invovles pro inflamm cytokines-> reactive oxygen species |
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after few days f the aute inflamm response of necrotic death it shofts to- |
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Definition
repair/anti infalmm molcecules |
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whihc cell death results in glial scar |
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whcih cell death occurs in the penumbra |
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*in apoptptisis cell death not all the cells in the area died and resume nromal funct, this si whn desicon is to program cell death or fix it |
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main advtg of apoptoic cell death is- |
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Definition
no inflamm or collateral damage |
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the most impt determingin factro if a cell lives or dies in the penumbra is- |
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Definition
excititoxicity/ excess glutamate in extra cell |
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* in ischemia cell depolarize and rlease Glu, and astrocytes are impaired to be abel to uptake it |
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Definition
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Glu release in ischemia is followed by what electroyltes- |
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the problme with too muhc Glu is- |
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Definition
activate NMDA-> Ca influx->apoptosis |
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NMDA recpotr anatgs dont affect the core death, but can reduce size of infacrt thru penumbra* |
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what 3 misc tx can reduce infarct size |
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Definition
cannbinoids adenosene hypothermia |
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plastiicty can be inhibited by what-3 |
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glial scars and meylin and inflamm |
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