Term
| 87% of strokes are what type? |
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Definition
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Term
| 80% of neuronal cell death occurs within what time frame? |
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Definition
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Term
| What is the gold standard for stroke workup? |
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Definition
| four vessel cerebral angiogram |
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Term
| What is the time frame for initation of t-PA? |
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Definition
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Term
| What decreases embolic stroke rate by 64%? |
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Definition
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Term
| stroke is the leading cause of what? |
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Definition
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Term
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Definition
| sudden vascular-related neurologic defecit resolves completely <24 hours |
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Term
| What should be your first imaging technique for CVD? |
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Definition
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Term
| What is the term used to describe the area around the infarct that has impaired blood flow but active metabolism? |
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Definition
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Term
| What meds should be used to reduce BP to what levels during stroke? |
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Definition
| nitro paste or IV labetalol to get BP to <185/110 mg Hg |
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Term
| What metabolic syndrome correlates w/poor outcomes in stroke? |
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Definition
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Term
| What prophylatic therapy should be started early in stroke patients? |
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Definition
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Term
| How will an infarct in the anterior cerebral artery present? |
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Definition
| contralateral leg weakness |
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Term
| How will an infarct in the middle cerebral artery present? |
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Definition
| contralateral hemiparesis and hemisensory, aphasia, and contralateral visual-field defect |
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Term
| How will an infarct in the vertebal artery present? |
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Definition
| gait abnormalities with crossed facial and body motor signs, diplopia, vertigo, nausea/vomiting |
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Term
| basilar artery infarcts will present how? |
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Definition
| oculomotor deficits w/ataxia and crossed sensory/motor deficits |
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Term
| How will infarcts of teh posterior occipital artery manifest? |
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Definition
| contra-lateral visual-field loss |
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Term
| What is the most common cause of a cardioembolism? |
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Definition
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Term
| What is the hallmark of large vessel atherothromboembolism |
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Definition
| recurrent similar events in same vascular territory |
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Term
| Small vessel occulisve disease - lacunar infarctions are more common with what comorbid condition? |
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Definition
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Term
| What two areas to focus on the exam of someone with TIAs or suspected stroke? |
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Definition
1) Heart - A fibb, PFO, etc.
2) Extracranial circulation - MRA/CT-A |
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Term
| What labs should be considered in someone <45 yo w/no stroke risk factors? |
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Definition
| genetic tests: SLE, factor V liden, anticardiolipin antibody, ANA, etc. |
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Term
| What do the majority of suriviors have? |
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Definition
| residual neurologic dysfunction |
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Term
| What increases the risk of stroke by 250%? |
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Definition
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Term
| What is the BP goal for stroke prevention? |
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Definition
| <140/90, up to 47% reduction of first time stroke |
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Term
| What are 4 risks of cardioembolism one should manage therapeutically? |
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Definition
1) bacterial endocarditis
2) Akinetic ventricular segments
3) Atrial Fibb
4) Mechanical Heart Valves |
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Term
| subarachnoid hemorrhage most commonly arises from where? |
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Definition
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Term
| What is a common complication of subarachnoid hemorrhages? |
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Definition
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