CVA TIA, Pales II Flashcards Preview

Year 2 neuro exam 2 > CVA TIA, Pales II > Flashcards

Flashcards in CVA TIA, Pales II Deck (48):
1

aphasia

inability to speak (motor or sensory)

2

alexia

inability to read

3

agraphia

inability to write

4

dysphagia

difficulty swallowing

5

dysarthria

slurred speech

6

hemispatial neglect

inability to attend one side of body or visual field

7

apraxia

inability to perform a specific task

8

anosognosia

unawareness of or denial of the existence of disability

9

anomia

difficulty recalling words or names

10

ataxia

unsteady gait

11

what supplies basal ganglia

lenticulostriate

12

lenticulostriate come off what a

MCA

13

Characteristics of MCA syndrome

contralateral hemiplegia/ sensation loss
contralateral homonymous hemianopsia

14

dominant side MCA syndrome

aphasia, alexia, agraphia, acalculia, finger agnosia, R-L confusion

15

non-dominant side MCA syndrome

unilateral neglect
dressing apraxia
anosognosia
constructional apraxia

16

Anterior artery syndrome

contralateral sensory and motor loss of lower extremity

17

PCA syndrome

homonymous hemianopsia
alexia without agraphia
visual or color anomia

18

Lateral pontine syndrome
Marie-Fox syndrome

AICA
ataxia- arm and leg
weakness- upper and lower extremity
hemisensory loss- pain and temperature

19

Lateral Medullary Syndrome
Wallenberg syndrome

PICA
facial sensory loss and pain
ataxia
nystagmus
vertigo
hoarseness
dysphagia
horner syndrome
hemisensory loss
hiccups

20

what strokes occur off basilar artery

locked in syndrome
lateral pontine
ventral pontine
ataxic hemiparesis
cortical blindness

21

lateral gaze weakness and contralateral hemiplegia

ventral pontine syndrome
Raymond Syndrome

22

contralateral UE and LE weakness
ipsi facial weakness

ventral pontine syndrome
Millard Gubler Syndrome

23

quadriplegia, b/l facial paralysis, dysarthria

locked in syndrome

24

other sx of stroke

HA
nausea/vomiting
stupor/coma/amnesia/confusion/delerium

25

Amaurosis Fugax

transient mono ocular blindness
warning sign impending stroke

26

causes of amaurosis fugax

embolic
hemodynamic
ocular
neurologic
idiopathic

27

Sx of TIA

last less than 24 hours

28

increased risk for what if have TIA

CVA within first 3 mo

29

Dx of stroke

Hx: sudden onset
do complete neuro and mental status exam
CT w/o contrast (only detects big strokes)

30

more sensitive imaging for stroke

MRI not CT

31

looking for cause of stroke lab workup

Hx
lipids, blood glucose, cardiac enzymes
EKG, arrhythmia MI
echo
carotid doppler
MR-A/ CT-A

32

differential for ischemic stroke

hemorrhagic or subdural hematoma
seizures
complex migraines
CNS tumors
nerves palsy
encephalitis
toxic metabolic encephalopathy
syncope
vertigo

33

common cause for confusion of hospitalized patients

toxic metabolic encephalopathy

34

Tx types for stroke

acute
primary stroke prevention
secondary stroke prevention

35

acute Tx for stroke

rtPA (within 3 hrs)
Aspirin
IV fluids
keep BP sufficient, not too high
swallowing evaluation
early rehab

36

non modifiable risk factors for stroke

age (>55)
+FMH
race: african american and hispanics>caucasians
gender: M>F
personal Hx TIA CVA MI any atherosclerosis

37

modifiable risk factors for stroke

HTN!! second biggest
Afib
smoking
DM!!! biggest
carotid stenosis
HLD
physical inactivity and obesity
alcohol and drug abuse
geographic location
socioeconomic factors

38

stroke prevention efforst

diet (low sat fat)
exercise (aerobic 30 min 3-5 days)
strict control BP, sugars and cholesterol
quit smoking

39

medications for stroke prevention

antiplatelets
anticoagulatns

40

what are the antiplatelet drugs

aspirin
clopidogril
aspiring/dipyridamole

41

what are the anticoagulation drugs

warfarin
heparin and LMWH

42

tx options of carotid stenosis

depends on degree of stenosis
medical Tx
surgical Tx with endarterectomy
stents

43

indications for stent in carotid stenosis

lesions not reachable with surgical approach
patients have high surgical risk

44

alexia without agraphia

PCA syndrome

45

multiple strokes all over brain

emboli from heart

46

major risk factors for strokes

atherosclerosis and HTN

47

CT can miss what

early strokes because small or in posterior circulation

48

major Tx of ischemic stroke

tPA