CVE

Question 1

what is ischemia?

Answer 1

having decreased o2 supply to tissues as well as tissues having increased o2 demand

Question 2

where is the anterior cerebral artery located?

Answer 2

Motor and Somatic cortex

Question 3

Signs of Anterior cerebral artery occlusion

Answer 3

loss of lower body sensation contra-laterally

loss of lower body motor control contra-laterally

Question 4

Where is the middle cerebral artery located?

Answer 4

Motor and lateral somatic cortex

Question 5

Signs of middle cerebral artery occlusion

Answer 5

contra-lateral loss of motor and sensation to upper body
Brocas aphasia (dysarthria)

Question 6

where is the posterior cerebral artery located

Answer 6

occipital lobe

Question 7

Signs of posterior cerebral artery occlusion

Answer 7

homonymors hemianopia (loss of temporal and nasal visual field)

Question 8

What is Locked in syndrome

Answer 8

bilateral paralysis but completely alert with eye movement as a result of basilar artery occlusion

Question 9

what is medullary syndrome?

Answer 9

dysarthria, dysphasia loss of motor control and loss of proprioception (anterior spinal osculation)

Question 10

Management of CVE/TIA

Answer 10

exclude hypoglycaemia
300mg aspirin unless contraindicated
admit to ED

Question 11

list 4 differentials of CVE

Answer 11

hypoglycaemia, seizure, vertigo, infection (sepsis)

Question 12

pathology of ischemic stroke

Answer 12

blockage of artery either by clots or plaque