7. Disease
        Neurology
            Stroke
Stroke - Stroke Syndromes

Stroke
- Stroke syndromes

5% of patients presenting with a stroke syndrome does not have a cerebrovascular pathology.

 

Transient ischemic attack

 

Ischaemic stroke syndromes

Anterior cerebral artery infarct

Middle cerebral artery infarct

Most common

Posterior cerebral artery infarct

Vertebrobasilar syndrome

Occurs when posterior circulation which suppliers the brainstem, cerebellum, and visual cortex is disrupted.

Basilar artery occlusion

Cerebellar infarct

Lacunar infarct

 

Haemorrhagic stroke syndrome

Intracerebral haemorrhage

May be clinically indistinguishable from cerebral infarction.

Headache, nausea, vomiting often precede the neurological deficit

Compared with ischaemic infarct: lethargy and hypertension is more common in haemorrhagic stroke.

Bleeding is usually localised to the putamen, thalamus, pons, or cerebellum in patients with hypertensive ICH.

 

Cerebellar haemorrhage

 

Subarachnoid haemorrhage (SAH)

More common in women, but in <40, more in men.

Hunt and Hess classification of SAH

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