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Flashcards in Stroke Deck (33):
1

What is the ABCD2 score

used to predict likelihood of stroke following TIA
Age >60
BP >140/90
Clinical features
Duration
Diabetes

2

what is the full work up when it comes to stroke

Type of stroke
Size of stroke
Laterality of stroke
Cause of stroke

3

What is the first line investigation for suspected stroke

CT non-contrast

4

How does a haemorrhagic stroke appear on CT

bright white

5

How does an ischaemic stroke appear on CT

dark spot

6

what is TACS

total anterior circulation syndrome

7

what are the features of TACS

hemiplegia of face, arm, leg
homonymous hemianopia
higher cerebral dysfunction

8

what is PACS

partial anterior circulation syndrome

9

what are the features of PACS

2/3 of TACS features
OR isolated cortical dysfunction
OR pure motor/sensory signs

10

What is LACS

lacunar syndrome

11

what are features of LACS

affects 2 of: face, arm, leg
pure sensory OR motor loss

12

What metabolic conditions are associated with LACS

HTN
DM
^ cholesterol

13

what is POCS

posterior circulation syndrome

14

what are the features of POCS

CN palsies
BILATERAL sensory +/or motor deficits
isolated homonymous hemianopia
conjugate eye movement disorders
cortical blindness
cerebellar deficits (DANISH)

15

which cerebral hemisphere is dominant in most people

left

16

what does damage to the dominant hemisphere usually affect

language

17

what does damage to the non-dominant hemisphere usually affect

spatial awareness

18

what are causes of stroke

atherothromboembolic
cardioembolic
small vessel disease
other

19

what is the most common atherothromboembolic cause of stroke

carotid artery disease

20

atherothromboembolism is a white/red plaque and is platelet/fibrin rich

white plaque
platelet rich

21

what is the most common cardioembolic cause of stroke

atrial fibrillation

22

cardioembolism is a white/red plaque and is platelet/fibrin rich

red plaque
fibrin rich

23

what medication is used for atherothromboembolism

antiplatelet

24

what medication is used for cardioembolic stroke

anticoagulant

25

what can haemorrhagic stroke be divided into

primary and secondary intracerebral haemorrhage

26

causes of primary intra cerebral haemorrhage

hypertension - deeper
amyloid angiopathy - peripheral

27

causes of secondary intra cerebral haemorrhage

ateriovenous malformation
aneurysm
tumour
others

28

what is the ABCDD of stroke prevention

anti thrombotic therapy
blood pressure
cholesterol
diabetes
dont smoke

29

what is the CHA2DS2VASc score

used for determining whether AF patients need anticoagulation

30

what is the HAS-BLED score

bleeding risk - to identify reversible risk factors for anticoagulation

31

Acute management of ischaemic stroke

ABCDE
CT/MRI
thrombolysis <4.5 hours of symptom onset
thrombectomy <6 hours of symptom onset
antiplatelets within 24 hours - aspirin 300mg + PPI for 2 weeks

32

Acute management of haemorrhagic stroke

ABCDE
CT/MRI
control BP
reverse anticoagulation

33

what is Weber's syndrome

midbrain stroke syndrome
crossed over findings