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Stroke 2 (Pathophysiology (Large Vessel occlusion (Carotid) (hemisensory…
Stroke 2
Pathophysiology
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Branch Vessel
Dominant hemisphere: Aphasia, Acalculia, Agraphia
Non-dom: Neglect, dressing apraxia, can't recognise face
MCA- Contralateral hemiplegia, hemianaesthesia, hemianopia
Perforating vessel: Pure motor or sensory. Dysarthria, ataxic hemiparesis, Sensorimotor stroke
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Management
Stroke unit- MDT, expertise, involvement of carers
Education and training, communication, mobility.
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Infarct: Thrombolysis (tPA, thrombectomy), aspirin, statins
Rehab- Assess, SLT, nutrition, goals
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Chronic problems: mobility, continence, cognition, pain, comms
Function anatomy
Parietal Lobe
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Non-dom: Body image, environment awareness
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" A sudden focal neurological deficit due to vascular lesions lasting 24+ hours." TIA <24 hrs w/ full clinical recovery