Neurology Book

http://www.fpnotebook.com/

Ischemic StrokeAka: Cerebrovascular Accident, Cerebrovascular Disease, Cerebral Infarction, Ischemic CVA, CVA

Advertisement

  1. Risk Factors
    1. See Cerebrovascular Accident Risk Factors
  2. Causes
    1. See CVA Causes
  3. Epidemiology
    1. Stroke Incidence (from most to least common)
      1. Ischemic Stroke: 88%
        1. Thrombotic Stroke (most common)
        2. Embolic Stroke
        3. Lacunar Stroke (least common of ischemic strokes)
      2. Intracerebral Hemorrhagic stroke: 9%
      3. Subarachnoid Hemorrhage: 3%
  4. Differential Diagnosis
    1. Hemorrhagic Stroke
    2. Head Trauma
    3. Meningitis
    4. Encephalitis
    5. Hypertensive Encephalopathy
    6. Intracranial Mass
      1. Intracranial tumor
      2. Subdural Hematoma
      3. Epidural hematoma
    7. Migraine with persistent neurologic deficits
    8. Seizure with persistent deficit (Todd's Paralysis)
    9. Metabolic abnormality
      1. Nonketotic hyperosmolar coma (hyperglycemia)
      2. Hypoglycemia
      3. Postcardiac Arrest Ischemia
      4. Toxin Ingestion
      5. Myxedema
      6. Uremia
    10. Psychiatric symptoms
    11. Shock state
  5. Signs
    1. Anterior Circulation CVA
      1. See Anterior Cerebral Artery CVA
      2. See Middle Cerebral Artery CVA
    2. Posterior Circulation CVA
      1. See Posterior Inferior Cerebellar Artery CVA
      2. See Vertebro-Basilar CVA
      3. See Posterior Cerebral Artery CVA
  6. Evaluation
    1. See CVA Evaluation
  7. Imaging
    1. MRI Head appears to be better imaging for initial CVA Evaluation
      1. Higher sensitivity for ischemic CVA
      2. Similar efficacy to CT Head for identifying hemorrhagic CVA
      3. Chalela (2007) Lancet 369:293
  8. Management
    1. See CVA Management
  9. Prevention after Ischemic Stroke or TIA
    1. See Prevention of Ischemic Stroke
    2. Evaluate for Carotid Stenosis
      1. See Transient Ischemic Attack
  10. References
    1. (2000) Circulation 102(suppl I):I
    2. Bath (2000) West J Med 173:209

Cerebrovascular accident (C0038454)

Definition (CSP)sudden neurologic impairment due to a cerebrovascular disorder, either an arterial occlusion or an intracranial hemorrhage.
Definition (MSH)A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
Definition (NCI)A sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. In general, cerebrovascular accidents are classified by anatomic location in the brain, vascular distribution, etiology, age of the affected individual, and hemorrhagic vs. nonhemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
ConceptsDisease or Syndrome (T047)
BasqueATAKEA/EZBEHAR BASKULAR BURMUINETAKOA
DanishApopleksi/cerebrovaskulaer katastr
EnglishACCIDENT CEREBROVASCULAR, Apoplexy, Brain Attack, Brain Vascular Accident, Brain Vascular Accidents, Cerebral apoplexy, CEREBRAL INFARCTION, Cerebral Stroke, Cerebral Strokes, cerebral vascular accident, CEREBROVASCULAR ACCIDENT, Cerebrovascular Accidents, Cerebrovascular Apoplexy, Cerebrovascular Stroke, Cerebrovascular Strokes, CVA, CVA unspecified, Stroke, Stroke and cerebrovascular accident unspecified, Stroke Syndrome, Stroke unspecified, Stroke/cerebrovasc accident, Stroke/cerebrovascular accident, Strokes
FinnishAIVOHALVAUS/ AIVOVERENKIERRON HAIRIO
FrenchAccident vasculaire cerebral
Hebrewerua moxi
Hungarianagyergorcs/agyverzes
ItalianColpo/accidente cerebrovascolare
NorwegianHJERNESLAG/CEREBROVASK KATASTROFE
PortugueseAcidente/doenca cerebrovascular
SpanishAcc cerebrovascular/apoplejia, accidente cerebrovascular, ACV, apoplejía, apoplejía cerebral, apoplejia, apoplejia cerebral, stroke
SwedishHJARNSLAG/CEREBROVASKULAR SKADA
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Ischemic stroke (C0948008)

ConceptsDisease or Syndrome (T047)
EnglishIschaemic stroke, Ischemic stroke
Spanishaccidente cerebrovascular isquémico, accidente cerebrovascular isquemico
CreditsDerived from the NIH UMLS (Unified Medical Language System)



Navigation Tree