Acute Ischaemic Stroke

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Presentation transcript:

Acute Ischaemic Stroke Dr. Evelyn Chan Acute Ischaemic Stroke

What is stroke?

What is a TIA?

What kind of stroke is it?

Can you tell which part of the brain is damaged? Clinical examination Different types of stroke

Different kinds of stroke: TACI, Total anterior circulation infarct PACI, Partial anterior circulation infarct LACI, Lacunar infarct POCI, Posterior circulation infarct The Oxford Community Stroke Project classification , OCSP

TACI Total Anterior Circulation Infarct What 3 components are present?

PACI Partial Anterior Circulation Infarct Define PACI

LACI Lacunar Anterior Circulation Infarct Give the clinical syndromes of a LACI.

POCI Posterior circulation Infarct What symptoms are classified under POCI?

What are the causes of ischaemic stroke?

Swallowing Test What is a swallowing test?

Investigations 1. What investigations to confirm the diagnosis? 2. What investigations to determine the stroke mechanism? 3. How to risk stratify and prognosticate? 4. How to identify potentially treatable large obstructive lesions of the cerebrovascular circulation?

Management: general measures Oxygen and Airway Support Adequate tissue oxygenation is imperative to prevent hypoxia and potential worsening of the neurological injury Observation Vital signs and GCS What is GCS?

Mobilisation How and when to mobilise the patient?

Antiplatelet agents Which antiplatelets to use?

How to treat recurrent ischaemic strokes? How to treat cardioembolic strokes?

Lipid lowering therapy Statins

Hypertension How to manage hypertension in acute stroke?

What are the causes of high BP in an acute stroke?

Hyperglycaemia How and when do you treat hyperglycaemia? Why treat?

Raised intracranial pressure: How to manage?

Thank you