MSRA: Stroke Flashcards
What is the function and location of Broca’s area?
Frontal lobe
Formation of language
What is the function and location of Wernicke’s area?
Interpretation of written and spoken word
Temporal lobe
What is the imaging modality of choice in suspected stroke?
Non-contrast CT head
What is the anti-platelet management of ischaemic stroke?
300mg Aspirin (after haemorrhagic excluded)
Then:
1st line = 75mg Clopidogrel LT
2nd line = Aspirin and Dipyridamole (if unable to have Clop)
3rd line = Dipyridamide alone (if unable to have Aspirin and Clop)
What statin therapy is needed for secondary prevention following a stroke?
Atorvastatin 80mg
What is the time frame for thrombolysis?
Within 4.5 hours of symptom onset
What is the time frame for thrombectomy?
Within 6 hours of symptom onset
Which patients should be considered for thrombectomy?
Confirmed proximal anterior occlusion presenting within 6 hours
Confirmed proximal anterior or posterior presenting after 6 hours WITH imaging showing salvageable brain tissue
What is the acute management of TIA?
Aspirin 300mg immediately (if presents within 7 days of suspected TIA)
Urgent assessment by stroke specialist within 24 hours
What are the DVLA rules following stroke/TIA?
1 month off driving
Only need to inform the DVLA if neurological deficit
Which part of the brain is affected in a lacunar stroke?
Basal ganglia, thalamus, internal capsule
Which part of the brain is affected in locked in syndrome?
Basilar artery
Which artery is affected to cause Amaurosis fugax?
Retinal/ophthalmic artery
What are the features of a lacunar stroke?
Pure sensory loss
Pure motor loss
Ataxic hemiparesis
What anti-platelet therapy is given for a patient who is unable to have/tolerate Clopidogrel?
Aspirin and Dipyridamole lifelong
