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20 Cards in this Set

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  • Back
What should you think when you see ACUTE onset of neurological symptoms?
Stroke
Hemorrhagic strokes usually cause _____.
pain
What are some risk factors for large artery atherosclerosis/thrombosis?
smoking, CAD, elevated lipids, male, PAD
Where is the most common location of embolic deposition?
MCA
What is the most common origin of emboli?
heart -- valve problems, artificial valve, cardiac infarct
What are some signs of CORTICAL stroke?
aphasia and neglect
Signs of a DEEP NUCLEAR stroke?
hemiparesis
Contralateral motor or sensory deficit. Arms more effected than legs. Aphasia if on dominant side. Neglect if not on dominant side. Eyes deviated toward side of stroke and away from hemiplegic side.
MCA stroke syndrome
Contralateral motor and sensory deficit with legs more affected than arms and face. Loss of drive (abulia), akinetic mutism, personality changes.
ACA stroke syndrome
Contralateral hemianopsia w/ macular sparing. Thalmic pain syndromes.
PCA stroke
Risk factor for lacunar strokes.
HTN and diabetes and polycythemia
Mechanism of lacunar stroke.
lipohyalinotic occlusion
Area around ischemic area that you are trying to salvage
penumbra
Main risk of using tPA.
Hemorrhage
____ can masquerade as a stroke.
Hypoglycemia
____ patients are high risk of hemorrhage.
Hyperglycemic
Only FDA approved therapy for stroke
Alteplase/Activase (tPA)
Aneurysms are commonly seen where?
at bifurcations in the anterior circulation
SAH presents as?
sudden very bad headache
What is the gold standard for diagnosing an aneurysm?
catheter angiography