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Acute Ischaemic Stroke - Coggle Diagram

- - - - Unilateral motor, sensory deficit or both affecting two of face, arm legs
      - HIgher cerebral dysfunction eg dysphasia, dyspraxia
      - Homonymous heminopia
  - - - Two or criteria for TACS
  - - - Pure motor or sensory deficit affecting two of face,arm leg
      - Sensorimotor deficit not meets TACS/PACS criteria
      - Ataxia hemiparesis
  - - - Homonymous heminopia
      - Cerebellar syndromes/cranial nerve palsy
      - Loss of conciousness
- - - - 50% MCA on CT
      - 82mls infarct at 6 hours
      - 145 ml at 14 hours
    - - DESTINY, DECIMAL, HAMLET
        
        reduction in mortaility from 71% to 21%
      - DESTINY II
        
        All survivors severely disabled aged >60
      - Criteria
        
        <60
        
        MCA infarct
        
        NIHSS >15
        
        50% MCA terrotory