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Ischemic stroke

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    SIGS 8.1a
  •   Study   Slideshow
  • Define ischemic stroke
    cerebral infarction due to insufficient cerebral blood flow, resulting in ischemia and neuronal injury
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  • Ischemic stroke accounts for __% of all strokes
    80-85%
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  • Name 3 risk factors for ischemic stroke
    Age >65; hypertension; diabetes mellitus; atrial fibrillation; carotid artery stenosis
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  • Damage from ischemic stroke depends on
    location and time!
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  • I took French in middle school. We were tasked to write a short story in English and then translate to French and present to the class. I read the English version with a French accent by mistake
    Alyssa
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  • What is the meaning of "Time is brain...save the penumbra!"
    Penumbra = area surrounding the ischemic event. If blood flow is restored quickly enough after a stroke, the penumbra can be preserved by collateral circulation
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  • tPA should not be administered for an ischemic stroke after how long?
    4.5 hours
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  • What does the acronym FAST stand for?
    Facial drooping; arm weakness; speech difficulties; time
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  • What is the utility of a non-contrast CT in stroke management?
    Rule out hemorrhage - contraindication for tPA
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  • T/F symptom onset is sudden
    F - typically onset over hours (compared to hemorrhagic stroke - sudden onset)
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  • Moving home from college, I had a suitcase with all my clothes. When I picked it up from baggage claim, one of the zippers broke from the pocket with all of my underwear. I looked inside and someone had stuffed all of my underwear back in
    Alexa
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  • Mr. Clooney had RUE and LUE paresis and LUE and LLE intact on neuro exam. What side of the brain was the stroke?
    Left! Contralateral side affected
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  • WHO's WHO - I learned only a few years ago due to a rude awakening moment that pink lemonade was not actually made from pink lemons
    Sulaiman
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  • Describe the RACE stroke scale - utility and components
    Facial palsy; arm motor function; leg motor function; head and gaze deviation. If R hemiparesis - test aphasia; if L hemiparesis - test agnosia
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  • Describe the utility and components of NIH stroke scale
    0 = no stroke; 1-4 minor; 5-15 moderate; 16-20 moderate-severe; 21-42 severe
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  • Why is it important to order a CT prior to full clinical evaluation in a suspected stroke patient?
    Time is brain... save the penumbra! - Dr. West
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