Flashcards in Neurology 3.6 Deck (14):
How is a stroke managed when a patient presents?
-head is laid flat
What are the major risk factors for stroke?
What is the bp goal for a patient post-stroke?
140/90 or lower
If a patient is suddenly unresponsive from tpa treatment in the ICU, what could be the cause?
cerebral edema with shift (L-->R)
Is a patient with an intracerebral hemorrhage a tpa candidate?
Where does intracerebral hemorrhage bleeding occur?
directly into the brain parenchyma
What is the most common etiology of intracerebral hemorrhage?
leakage from small intracerebral arteries damaged by chronic HTN
Who is at risk for hemorrhagic stroke?
AA and Japanses populations; older-aged population
What is the modality of choice for imaging hemorrhagic stroke on emergent basis?
STAT noncontrast CT of the brain
Is ICU mandatory for hemorrhagic stroke?
What is the one exception where neurosurgery is indicated with a stroke?
cerebellar hematoma; lifesaving in the prevention of brainstem compression
What is a pontine hermorrhage?
severe catostrophic brainstem hemorrhage
"pin point" 1-2mm nonreactive pupils with coma
What is the most common etiology of a subarachnoid hemorrhage?