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Cerebrovascular Accident (Stroke) - ambonsall.com

Version Cerebrovascular Accident ( stroke ) 5/05/2012 Clinical syndrome, of presumed vascular origin, with acute signs of focal or global cerebral dysfunction lasting >24 hours or leading to death. May be ischaemic cerebral infarction (~85%) or intracerebral haemorrhage (10% ICH & 5% SAH). Causes Thrombosis in/situ. Athero/thromboembolism ( from carotid or vertebral arteries). Heart emboli (atrial fibrillation, infective endocarditis, myocardial infarction). Central nervous system bleed (hypertension, head injury, aneurysm rupture). Sudden blood pressure drop by more than 40mmHg. Subclavian steal. Vasculitis, giant cell arteritis. Venous/sinus thrombosis. Hyperviscosity syndromes. In a young patient, consider: vasculitis, thrombophilia, SAH, venous/sinus thrombosis or carotid artery dissection ( via near/strangling or fibromuscular dysplasia).

Version 2.1 Cerebrovascular Accident (Stroke) 5/05/2012 Clinical syndrome, of presumed vascular origin, with acute signs of focal or global cerebral dysfunction lasting >24 hours or leading to death.

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