Term
|
Definition
Total Anterior Circulation stroke.
(total occlusion of ACA or MCA) |
|
|
Term
| What are the clinical features of a TACS? |
|
Definition
Homonomous hemianopia
contralateral hemiparesis/sensory disturbance.
Dominant side = broca's - expressive dysphagia
wernices = receptive dysphagia
non dominant side = neglect. |
|
|
Term
|
Definition
Partial Cerebral artery Stroke.
(Partial occlusion of MCA) |
|
|
Term
| What are the clinical features of a PACS? |
|
Definition
Like a TACS = but less symptoms.
e.g. 2/3 of TACS or higher cortical dysfunction alone |
|
|
Term
|
Definition
Posterior Circulation Stroke
(involves PCA or vertebral) |
|
|
Term
| What are the clinical features of a POCS? |
|
Definition
isolated homonomous heminaopia (occipital lobe only)
cranial nerve palsy
cerebellar dysfunction (VANISHD) |
|
|
Term
|
Definition
|
|
Term
| What are the clinical features of a LACS? |
|
Definition
Purely motor disturbance
Purely sensory disturbance
Pure sensorimotor
Ataxic hemiparesis. |
|
|
Term
| How would you investigate a stroke? |
|
Definition
CT/MRI
Carotid Dopler
Angiography
Echo / ECG
FBC - polycythaemia
ESR - vasculitis / endocarditis
Culture: endocarditis
glucose
Lipids/Cholesterol
Lumbar puncture. |
|
|
Term
| how would you manage an ischaemic stroke? |
|
Definition
Asprin/clopidogrel 300mg enhance with dipyridamole
Dexamethasone (dec cerb oedema)
thrombolysis - tPA
Surgical endartectomy |
|
|
Term
| How would you manage a haemorrhagic stroke? |
|
Definition
Vitamin K - if on warfarin
Dexamethasone
Nimodipine - prevent vascualar spasm
Surgical evacuation/clipping of aneurysm. |
|
|
Term
|
Definition
Anti-platelet
Statin
Anti-hypertensive
diet/exc advise |
|
|
Term
| What are the cerebral complications of a stroke? |
|
Definition
Transtentorial herniation
Haemorrhagic Transformation
Seizures
hydrocephalus
inappropriate ADH secretion |
|
|
Term
| What are the systemic complications of stroke? |
|
Definition
dysphagia
aspiration pneumonia
hypertension
fever/infection
DVT/PE |
|
|
Term
| What does the pneumonic VANISHD stand for? |
|
Definition
V= Vertigo
A = Ataxia
N = Nystagmus
I = Intention Tremor
S = Stacatto Speech
H = Hypotonia
D = Diplopia |
|
|
Term
|
Definition
| The clinical syndrome of rapid onset of cerebral deficit (usually focal) lasting longer than 24hours or until death - with no apparent cause other than a vascular one. |
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