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Neuro 5 TIA/Stroke Matching
What should always be done prior to an LP?
Neuro exam (look for evidence of increased ICP like papilladema)
What are the 5 main lacunar syndromes that may arise from lunar infarct?
1. Pure motor hemiparesis (MCC) 2. Pure sensory 3. Ataxic hemiparesis 4. Sensorimotor stroke 5. Dysarthria-clumsy hand syndrome
A lesion to which area of the brain is responsible for the following clinical scenario?: coma
Reticular activating system
What neuro defects would be seen with an infarct of the following aa?: lacunar aa
Lacunar syndrome
What neuro defects would be seen with an infarct of the following aa?: basilar a
1. CN abnormalities 2. Contralateral full body weakness 3. Coma/alteration of consciousness
How long must a focal neuro deficit last to qualify as a stroke?
>24h
What is the anticoag of choice in a pt with first TIA?
ASA
A lesion to which area of the brain is responsible for the following clinical scenario?: agraphia and acalculia
Dominant parietal lobe (usually L)
What neuro defects would be seen with an infarct of the following aa?: posterior cerebral a
visual defects (unilateral hemianopia with macular sparing)
What neuro defects would be seen with an infarct of the following aa?: anterior cerebral a
Contralateral loss of sensory and motor info to the legs, feet, and trunk
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