Scribd Logo
Upload

Welcome to Scribd!

  • 56 views

    Introduction To STROKE - Asem

    Uploaded by

    Asem Shadid
    This document provides an introduction to strokes, including: 1. Strokes can be ischemic (80%) caused by lack of blood flow or hemorrhagic (20%) caused by bleeding, and damage the brain. 2. The brain's blood supply is delivered through the Circle of Willis artery network. 3. Stroke symptoms vary depending on the affected vessel territory in the brain. Hemorrhagic strokes can be intracerebral, cerebroventricular, intraventricular, or subarachnoid hemorrhages. 4. Initial stroke treatment involves stabilizing the patient and determining if the stroke is ischemic or hemorrhagic to guide further care such as

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Introduction To STROKE - Asem

    Uploaded by

    Asem Shadid
    56 views29 pages
    This document provides an introduction to strokes, including: 1. Strokes can be ischemic (80%) caused by lack of blood flow or hemorrhagic (20%) caused by bleeding, and damage the brain. 2. The brain's blood supply is delivered through the Circle of Willis artery network. 3. Stroke symptoms vary depending on the affected vessel territory in the brain. Hemorrhagic strokes can be intracerebral, cerebroventricular, intraventricular, or subarachnoid hemorrhages. 4. Initial stroke treatment involves stabilizing the patient and determining if the stroke is ischemic or hemorrhagic to guide further care such as

    Original Description:

    introduction to STROKE

    Original Title

    Introduction to STROKE- Asem

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides an introduction to strokes, including: 1. Strokes can be ischemic (80%) caused by lack of blood flow or hemorrhagic (20%) caused by bleeding, and damage the brain. 2. The brain's blood supply is delivered through the Circle of Willis artery network. 3. Stroke symptoms vary depending on the affected vessel territory in the brain. Hemorrhagic strokes can be intracerebral, cerebroventricular, intraventricular, or subarachnoid hemorrhages. 4. Initial stroke treatment involves stabilizing the patient and determining if the stroke is ischemic or hemorrhagic to guide further care such as

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    56 views29 pages

    Introduction To STROKE - Asem

    Uploaded by

    Asem Shadid
    This document provides an introduction to strokes, including: 1. Strokes can be ischemic (80%) caused by lack of blood flow or hemorrhagic (20%) caused by bleeding, and damage the brain. 2. The brain's blood supply is delivered through the Circle of Willis artery network. 3. Stroke symptoms vary depending on the affected vessel territory in the brain. Hemorrhagic strokes can be intracerebral, cerebroventricular, intraventricular, or subarachnoid hemorrhages. 4. Initial stroke treatment involves stabilizing the patient and determining if the stroke is ischemic or hemorrhagic to guide further care such as

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 29

    INTRODUCTION TO STROKE

    Asem Mustafa Shadid


    5th year medical student
    OBJECTIVES :

    • Introduction
    • BS of the brain
    • STROKE AND Transient Ischemic Attack
    • Stroke Symptoms by Vessel Territory
    • Hemorrhagic Stroke
    WHY IMPORTANT ?

    • third leading cause of death in the united state


    • modifiable and unmodifiable risk factors :
    INTRODUCTION

    • Can be ischemic (80%) or hemorrhagic (20%).


    • Ischemia: lack of circulating blood deprives the neurons of oxygen and
    nourishment
    • Hemorrhage: Extravascular release of blood causes damage by cutting off
    connecting pathways, resulting in local or generalized pressure injury
    BS
    External view
    Internal vue
    WILLIS CIRCLE
    ST ROK E SY MPTOMS
    B Y V E SSE L T E R R I TORY
    HEMORRHAGIC STROKE

    • |Types:
    • - Intracerebral (IC)
    • - Cerebro-ventricular (CV)
    • - Intra-Ventricular
    • - Subarachnoid hemorrage (SAH)
    TREATMENT

    • ABC
    • Ischemic stroke or Hemorrhagic stroke ?
    • Thrombolytics (tPA) if it has been < 3 hours since onset of stroke and there is no bleeding or
    absolute contraindications.
    • ASA if it has been > 3 hours since onset of stroke. Consider switching to clopidogrel in patients
    who are already taking ASA.

    • Surgical treatment ? Carotid Endarterectomy - Symptomatic and asympttomatic carotid stenosis


    • Mechanical Embolus Removal in Cerebral Ischemia (MERCI) - Used mainly for ICA

    • Underling cause
    • Prevent
    MCQ ?
    • A 72-year-old retired school teacher has the abrupt onset of right face and hand weakness, disturbed speech
    production, and a right homonymous hemianopsia. This is most likely attributable to occlusion of which of the
    following arteries?

    • a. Left middle cerebral artery


    • b. Left anterior cerebral artery
    • c. Left vertebrobasilar artery
    • d. Right anterior choroidal artery
    • e. Left posterior inferior cerebellar artery (PICA)
    • A 67-year-old woman with a history of type 2 diabetes mellitus and atrial fibrillation presents to the emergency
    room with left body weakness and slurred speech. The onset was sudden while she was brushing her teeth 1
    hour ago, and she was brought immediately to the emergency room. She denies word-finding difficulties,
    dysesthesia, and headache. She is taking warfarin.
    • Which of the following is the most appropriate first step in management?

    a. Administer tissue plasminogen activator.


    b. Call a vascular surgery consult for possible endarterectomy.
    c. Order a brain computed tomography (CT).
    d. Order a cerebral angiogram.
    e. Start heparin.
    • A 35-year-old man has severe throbbing pain waking him from sleep at night and persisting into the day.
    This pain is usually centered about his left eye and appears on a nearly daily basis for several weeks or
    months each year. It occurs most prominently at night within a few hours of falling asleep and is associated
    with a striking personality change in which the man becomes combative and agitated. He never vomits or
    develops focal weakness.
    pick the diagnosis that best explains the clinical picture:
    • a. migraine
    • b. Cluster headache
    • c. tth
    • d. Trigeminal neuralgia
    • A 22-year-old dance instructor routinely develops headaches on the weekend. The headaches are almost
    always limited to the right side of her head and centered about the right temple. She knows that a headache
    is coming because of changes in her vision that precede the headache by 20-to-30 minutes. She sees
    scintillating lights just to the left of her center of vision.
    • This visual aberration then expands and interferes with her vision. The blind spot that it creates appears to
    have a scintillating margin. As the blind spot clears, the headache starts. It rarely lasts more than 1 hour, but is
    usually accompanied by nausea and vomiting.
    • pick the diagnosis that best explains the clinical picture:

    1. Classic migraine
    2. Cluster headache
    3. Trigeminal neuralgia
    4. Sinusitis
    HISTORY FOR THE FINAL
    WEAKNESS
    HISTORY
    SZ HISTORY
    HA HISTORY

    You might also like