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57 Cards in this Set

  • Front
  • Back

is the sudden los of neurological function caused b an interruption of the blood flow to the brain

CVA/ stroke/ brain attack/ apoplexy

to be classified as stroke, neurological deficits most persist for atleast 24 hours

CVA/ stroke/ brain attack/ apoplexy

branch of VA that supplies the (Lat part) medulla oblongata & cerebellum

PICA

PICA lesion:

lesion:


PICA syndrome;


lateral medulla syndrome;


wallenburg syndrome

1st branch of basilar a.

AICA

supplies the pons & cerebellum

AICA

AICA lesion:

AICA syndrome

supplies the inner ear

IAA

IAA lesion:

sensorineural/ hearing loss (irreveseable)

supplies the midbrain & cerebellum

SCA

terminal branch of the basilar a.

PCA

supplies the medial & inferior temporal (memory) & occipital lobe; diencephalon (SHET); midbrain (CN 3 & 4)

PCA

a branch of ICA; it conects the anterior circulation & posterior circulation

Pcom

arteries of the anterior circulation:

1 Acon


2 ACA


2 ICA


2 OA


2 Pcom

1st branch of ICA

OA

OA lesion:

amaurosis fugax

supplies the medial frontal & parietal

ACA

asymmetric stroke

ACA

largest branch of ICA

MCA

terminal branch of ICA

MCA

MC occluded artery

MCA

supplies: lateral frontal, parietal, temporal lobe

MCA

connects the (R) & (L) ACA

Acom

aka medial striate art

recurrent artery of heubner

terminal brach of ACA

recurrent artery of heubner

supplies: globus pallidus & ant. limb of the internal capsule

recurrent artery of heubner

recurrent artery of heubner lesion:

athetosis, dysarthria, clumsy-hand syndrome

lesion of the neostriatum:

chorea

lesion of the putamen:

dystonia

lesion of the globus pallidus:

athetosis

lesion of the subthalamus:

hemiballismus

aka lateral striate art

lenticulostriate art

supplies: neostriatum (putamen & globus pallidus)

lenticulostriate art

lenticulostriate art lesion:

chorea

corticospinal tract

post. limb of internal capsule

pure motor stroke

post. limb of internal capsule

refers to the temporary interruption of the blood supply to the brain

Transient Ischemic attack (TIA)

symptoms of focal neurological deficit may last for only a few minutes of for several hours < 24 hrs

Transient Ischemic attack (TIA)

there is NO evidence of residual brain damage or permanent neurological dysfunction

Transient Ischemic attack (TIA)

secondary to subsiding brain edema

reversible ischemic neurologic deficit (RIND)

> 24 hrs but not > 21 days (3 weeks)

reversible ischemic neurologic deficit (RIND)

development f more severe neurologic impairment & often association with active occlusive thrombosis of a major cerebral .

reversible ischemic neurologic deficit (RIND)

this is used to refer to the pt. whose neurological status is deteriorating after admission to the hospital

stroke in evolution

stroke in evolution aka

deteriorating stroke, progressive stroke

this is used to described a stroke affecting persons below the age of 45 (=< 45 y.o)

young stroke

usually associated/ caused by hemorrhagic stroke

young stroke

when no further deterioration is seen

complete stroke

non-modifiable risk factor


age:

>60 y.o.

non-modifiable risk factor


gender:

(M>F)=if =>85 y.o.(F>M)

non-modifiable risk factor


race:

african american


others: mexican americans; american indians; alaska natives

non-modifiable risk factor of stroke:

age


gender


race


family hx


history of previous stroke


(code: AGRaFaHis)

most important risk factor of stroke

HTN

most treatable risk of stroke

HTN

modifiable risk factors of stroke:

HTN


Heart dse


DM


smoking


sedentary lifestyle


personality & behavior


(code: Hyper si Heart kaya na DM dahil nag SMoking sa SM kaya going Obese at nagbago ang Personality & behavior)

pt. with high BP of _______ mmhg are prone to _______X of having stroke

160/95 mmhg; 4-6X

examples of heart disease that would cause stroke:

atrial fibrillation;


endocarditis;


embolic stroke;


obesity (hyperlipidemia);

smoking would cause:

vasoconstriction of the BV