Term
| Where is the #1 location for Thrombotic Stroke in general, regardless of etiology? |
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Definition
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Term
| Where is the #2 location for Thrombotic Stroke in general, regardless of etiology? |
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Definition
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Term
| List as many Rare causes of thrombotic strokes as you can... |
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Definition
| Lupus Anticoagulant...Polycythemia... Dissecting Aortic Aneurysm... Thrombocytosis... Meningo-vascular Syphilis |
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Term
| Where is the #1 site that Emboli from the Heart are found in stroke... |
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Definition
| M.C.A.(Middle Cerebral Artery) |
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Term
| Where is the #2 site that Emboli from the Heart are found in stroke... |
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Definition
| P.C.A.(Posterior Cerebral Artery) |
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Term
| Where is the #3 site that Emboli from the Heart are found in stroke... |
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Definition
| A.C.A. (Anterior Cerebral Artery) |
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Term
| List the top four locations for a thrombotic stroke regardless of etiology... |
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Definition
1) Internal Carotid
2) Middle Cerebral
3) Vertebral
4) Basillar
Remeber:IC/MC/V/B |
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Term
| List the top 3 locations for a thrombotic stroke secondary to Cardiogenic Emboli... |
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Definition
| 1). MCA...2).PCA...3).ACA...."MPA" |
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Term
| Name the location:...CONTRAlateral weakness & sensory loss (Hemiplegia and Hemianesthesia)...Homonymous Hemianopsia + impaired conjugate gaze in the OPPOSIT direction..(the pt. looks to the side of the lesion).. |
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Definition
| MCA...Middle Cerebral Artery |
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Term
| If the Dominant Hemisphere is involed with a MCA what is lost? |
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Definition
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Term
| If the NONdominant hemisphere is involved what is lost? |
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Definition
| spatial fuction (impaired) |
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Term
| Describe a MCA stroke that involves the upper division and spares the diencephalon... |
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Definition
| Weakness and Sensory loss is MOST pronounced in the FACE and UPPER extremities. |
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Term
| Describe a MCA stroke that involved the main trunk...ie the main trunk is occluded. |
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Definition
| Motor and Sensory loss is the SAME IN THE FACE, ARM LEG. |
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Term
| Name the stroke:..Contralateral Homonymous Hemianopsia (usually upper quadrant)..MILD CONTRAlateral weakness and sensory loss...COLOR anomia.(post. aspect of Corpus Callosum)...Memory Loss.(severe is bilateral blood flow loss) |
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Definition
| PCA.(posterior cerebral artery) |
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Term
| name the stroke:...distal contralateral leg with contralateral lower extremity weakness...urinary incontinence...gait abnormalities...Tactile anomia.(ANTerior Corpus Callosum) |
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Definition
| ACA.(Anterior Cerebral Artery) |
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Term
Bilateral Hemispheric Involvement or Brainstem
Stroke: |
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Definition
Paraspinal muscles...
pharynx...
Jaw...
Forhead... |
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Term
| What causes a Brain Stem Stroke? |
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Definition
| Vertebral and/or Basilar Artery Occlusion |
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Term
| Name the stroke:..Bilateral extremity motor and sensory loss..quadraplegia in severe cases..crossed motor and sensory findings..eg:.Right Face and Left Arm..Horners syndrome..cerebellar signs..stupor and coma..pharyngeal weakness, jaw weakness, DEAFNESS |
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Definition
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Term
| another name for the lateral medulary syndrom is: (someones name) |
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Definition
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Term
| Describe the Wallenberg syndrome: |
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Definition
| This is a Vertebral Stroke...the "lateral medullary syndrome"...nausea and vomiting...nystagmus.(vestibular nuclei)...Ipsilateral Horners syndrome... Ipsilateral palate and vocal cord weakness... "crossed" sensory loss (ipsilateral face and contralateral body) |
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Term
| Describe a Vertebral Stroke: |
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Definition
| the "lateral medullary syndrome"...nausea and vomiting...nystagmus.(vestibular nuclei)...Ipsilateral Horners syndrome... Ipsilateral palate and vocal cord weakness... "crossed" sensory loss (ipsilateral face and contralateral body) |
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Term
| What causes pure hemiplegia with no sensory dysfuction or pure hemisensory loss with no motor dysfuction? |
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Definition
| "Lacunes" stroke...from Chronic HTN... small artery disease; small necrotic regions form cysts or "lacunes". |
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Term
| Where are the lesions in Pseudobulbar Palsy? |
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Definition
| Multiple Bilateral Frontal Lobe Locunes = Lacunar Infarcts. |
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Term
| Describe the Putamen Stroke: |
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Definition
| CONTRA-Lateral:...Hemiparesis...Sensory Loss...Hemianopsia.(loss of viz. field for 1/2 viz field for one or both eyes)(HEMORRHAGIC not ischemic) |
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Term
| What do you call this: CONTRA-Lateral:...Hemiparesis...Sensory Loss...Hemianopsia.(loss of viz. field for 1/2 viz field for one or both eyes) |
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Definition
| Putamen Stroke (it's Hemorrhagic!) |
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Term
| List the Hemorrhagic Strokes: |
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Definition
Putamen,..Thalamus,..Pons,..Cerebellum.......
"PTPC" |
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Term
| Where is this Hemorrhagic stroke?...CONTRA-Lateral Hemiplegia...Hemianesthesia...sensory>motor loss |
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Definition
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Term
| Where is this Hemorrhagic stroke?...COMA with pin point pupils and usually complete paralysis...decerebrate posturing bilaterally. |
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Definition
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Term
| Where is this Hemorrhagic stroke?...Acute Dizziness...Ataxia...Vomiting...Normal Mentation but DIZZY and VOMITING. |
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Definition
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Term
| In a Hemorrhagic Stroke are the sympotoms abrupt in onset...or of a smooth and gradual onset? |
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Definition
| SMOOTH AND GRADUAL...(PTPC...Putamen, Thalamus, PONS, Cerebellum...these are the Hemorrhagic Strokes... (Don't confuse this with the "Thunder Clap" headache of Saccular Aneurysms!!!) |
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Term
| Describe Amyloid Angiopathy... |
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Definition
| Recurrent Intracerebral Bleeds...Usually Subcortical-not deep structure...usually older than 65yo...occasionally subarachnoid bleed. |
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Term
| What is this?:...Recurrent Intracerebral Bleeds...Usually Subcortical-not deep structure...usually older than 65yo...occasionally subarachnoid bleed. |
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Definition
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Term
| Hypertensive Small Vessel Disease will cause what type of Dementia? |
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Definition
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Term
| BERRY Aneurysms is a nick name for what? |
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Definition
| Cerebral Saccular Aneurysms. |
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Term
| List the usual sites of Cerebral Saccular Aneurysms (Berry Aneurysm)...List the TOP THREE |
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Definition
| Internal_Carotid..(40%).. .Anterior_Cerebral..(35%).. .Middle_Cerebral..(20%)... ."IAM_Berry" |
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Term
| True or False: A Clear LP Rules Out a Sub Arachnoid Bleed? |
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Definition
| FALSE...It may take HOURS after the onset of the bleed before RBC's show up in the CSF! |
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Term
| What is the Procedure of Choice to diagnose a cerebral saccular aneurysm..."Berry aneurysm" |
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Definition
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Term
| A Rebleed from a Subarachnoid Bleed is usually how long from the initial bleed. |
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Definition
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Term
| With regard to a Subarachnoid Bleed what beside the bleed itself can cause damage? |
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Definition
| The VASOSPASMS...Secondary Vasospasms can commonly cause additional deterioration and these symptoms occure more slowly. |
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Term
| If you suspect a subarachnoid bleed what do you do first the LP or CT? |
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Definition
| Do the CT first...but a CT will miss 10% of subarachnoid bleeds...then do the LP..if bloody with xanthochromic supernatant then you have the dx...however remember it may take HOURS after the onset of the bleed before RBC's show up in the CSF! |
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Term
| What is isodense and not seen on CT if over a week old? |
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Definition
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Term
| What type of brain injury do you usually get from a deceleration force? |
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Definition
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Term
| Is Subdural Hematoma Arterial or Venous in origin ? |
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Definition
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Term
| What is the best way to diagnose a Subdural Hematoma? |
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Definition
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Term
| Which is caused by an arterial bleed: Sub or Epidural Hematoma? |
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Definition
| Epidural:..Temporal trauma that damages the Middle Meningial artery...associated with temporal bone fractures. Dx with CT to ID both the hematoma and skull fx. Treat with clot evacuation to decrease pressure. |
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Term
| what do you call Temporal trauma that damages the Middle Meningial artery? |
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Definition
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Term
| Temporal Trauma that damages the Middle Meningeal Artery is usually what type of bleed? |
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Definition
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