Stroke
Stroke
Stroke
M. Salman
FOPAHS, LCWU
Stroke is an acute episode of focal neurologic deficit that lasts
at least 24 hours and is presumed to be of vascular origin.
Cardiogenic embolism
Stasis of blood flow in the atria or ventricles leads to formation of local clots that can
dislodge and travel through the aorta to the cerebral circulation.
Symptoms
Unilateral weakness
Inability to speak
Loss of vision
Vertigo, or falling
Ischemic stroke is not usually painful
Severe headache may occur in hemorrhagic stroke
Neurologic deficits on physical examination depend on the brain
area involved.
Non –contrast CT
If a patient with AIS presents within 6 hours of symptom onset
and shows a small core infarct on NCCT
CT angiography (CTA) or MR angiography (MRA) can be used for guiding
mechanical thrombectomy patient selection
In patients diagnosed with ICH, performing a CTA within the first few hours of
symptom onset can help identify individuals at risk of experiencing hematoma
expansion (HE)
serial head CT scans within the first 24 hours can also assess for any HE
Between the onset of SAH symptoms and the obliteration of the aneurysm,
AHA/ASA recommends maintaining SBP below 160 mm Hg.
On the contrary, Europea Stroke Association suggests maintaining the SBP < 180
mm Hg
Treatment with antiepileptic drugs is recommended in case a patient
experience seizures associated with SAH
Short-term seizure prophylaxis may also be considered during the immediate
posthemorrhagic period