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Stroke Classification Risk Factors Signs and Symptoms Management –Prehospital –In-hospital
Classification of Stroke Ischemic Stroke (75% “Brain Infarct”) –Occlusive: Thrombosis Embolism –Anterior Circulation Occlusion of carotid artery involve cerebral hemispheres –Posterior Circulation Vertebro-basilar artery distribution involve brainstem or cerebellum
Classification of Stroke Hemorrhagic Stroke –Subarachnoid Aneurysm (most common) Arteriovenous malformation –Intracerebral Hypertension (most common) Amyloid angiopathy in elderly
Stroke – Risk Factors Modifiable –Hypertension –Tobacco use –Hx of TIA’s –Heart Disease –Diabetes Mellitus –Hypercoagulopathy Pregnancy, cancer, etc. –Sickle Cell and increased RBC –Hx of carotid Bruit Unmodifiable –Age –Gender –Race –Previous CVA –Heredity
Stroke – Signs and Symptoms Ischemic –Carotid Circulation Unilateral paralysis (opposite side) Numbness (opposite side) Language disturbance –Aphasia – difficult comprehension, nonsense, difficult reading/writing –Dysarthria – slurred speech, abnormal pronunciation. Visual disturbance (opposite side) Monocular blindness (same side)
Stroke – Signs and Symptoms Ischemic –Vertebrobasilar Circulation Vertigo Visual disturbance –Both eyes simultaneously Diplopia –Ocular palsy – inability to move to one side –Dysconjugate gaze – asynchronous movement Paralysis Numbness Dysarthria Ataxia
Netter; Atlas of Human Anatomy
Stroke – Signs and Symptoms Hemorrhagic –Subarachnoid hemorrhage Sudden severe HA Transient LOC Nausea/Vomiting Neck pain Intolerance of noise/light AMS –Intracerebral hemorrhage Focal sx w/ LOC, N/V
Stroke – Signs and Symptoms Differential Diagnosis of Stroke –Head/Cervical trauma –Meningitis/encephalitis –Hypertensive encephalopathy –Intracranial mass Tumor Sub/epi dural hematoma –Todd’s paralysis –Migraine w/ neuro sx –Metabolic Hyper/hypo glycemia Post arrest ischemia Drug OD
Stroke, Head Trauma and conciousness Amy Wood, Haddy Cosh, Vishal Chauhan, Asfand Baig, Stewart O’Conner.
The Brain Lecture 2 Ali B Alhailiy.
1 Acute Stroke Care At the end of this study the participant will: –List 4 risk factors for stroke –Verbalize application of the Cincinnati Stroke Scale.
Diagnosis of Acute Ischemic and Hemorrhagic Stroke.
RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling
Ischemic Stroke without Infarctions: Occlusion and stenosis of carotid arteries ASN Conference September 12 th, 2013.
Stroke 101 – Overview of Anatomy and Pathology Robin Raju, DO Medical Director St. Luke’s Acute Rehabilitation Center.
Neurologic Origins of Dizziness & Vertigo Clinical presentations of Dizziness or Vertigo that is of Neurologic Origin Neurologically mediated dizziness.
CEREBROVASCULAR ACCIDENT (CVA)
Cerebrovascular Accident Aka: Stroke Brain Attack.
Neuroscience Blood Supply of the Central Nervous System Dr. Michael P. Gillespie 1.
Approach to Nervous System Dr. Amal Alkhotani MD, FRCPC Neurology,EEG & Epilepsy
Cerebral Vascular Accident (CVA) Stroke - Overview Third leading cause of death in industrialized countries. Total cost of strokes in the U.S. is roughly.
STROKE Dr Muhammah Ashraf Assistant Professor Medicine
A focal (or sometimes global) neurological defecit of sudden onset and lasting> 24h (or leading to death), and of presumed vascular origin 5-10 per.
Lecturer: Dr Lucy Patston Thank you to the following 2013 Year Two students who devoted their time and effort to developing the.
This lecture was conducted during the Nephrology Unit Grand Ground by Medical Student under Nephrology Division under the supervision and administration.
Cerebro-Vascular Disease Dr. Raid Jastania. Cerebrovascular disease – Congenital/Developmental – Acquired – Localized lesion: Blockage – Thrombosis.
STROKE Dr Ubaid N P Community Medicine Pariyaram Medical College.
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