Name
CEREBRAL THROMBOSIS
DESCRIPTION
DETAIL
CAUSES OF STROKE : COMMON CAUSES : 1. THROMBOSIS - LACUNAR STROKE ( SMALL VESSEL ) - LARGE VESSEL THROMBOSIS - DEHYDRATION 2. EMBOLIC OCCLUSION A. ARTRY TO ARTRY - CAROTID BIFURCATION - AORTIC ARCH - ARTERIAL DISSECTION B. CARDIOEMBOLIC - ATRIAL FIBRILLATION - MURAL THROMBUS - MYOCARDIAL INFARCTION - DILATED CARDIOMYOPATHY - VALVULAR LESIONS LIKE MITRAL STENOSIS , MECHANICAL VALVES, BACTERIAL ENDOCARDITIS C. PARADOXICAL EMBOLUS - ATRIAL SEPTAL DEFECT - PATENT FORAMEN OVALE - ATRIAL SEPTAL ANEURYSM - SPONTANEOUS ECHO CONTRAST UNCOMMON CAUSES A. HYPERCOAGULABLE DISORDERS - PROTEIN C DEFICIENCY - PROTEIN S DEFICIENCY - ANTITHROMBIN III DEFICIENCY - ANTIPHOSPHOLIPID SYNDROME - FACTOR V LEIDEN MUTATION - PROTHROMBIN G20210 MUTATION - SYSTEMIC MALIGNANCY - SICKLE CELL ANEMIA - BETA THALASSEMIA - POLYCYTHEMIA VERA - SLE - HOMOCYSTEINURIA - THROMBOTIC THROMBOCYTOPENIC PURPURA - DIC - DYSPROTEINEMIAS - NEPHROTIC SYNDROME - INFLAMMATORY BOWEL DISEASE - ORAL CONTRACEPTIVES B. VENOUS SINUS THROMBOSIS C. FIBROMUSCULAR DYSPLASIA D. VASCULITIS - SYSTEMIC VASCULITIS LIKE PAN , WEGNER , TAKAYASU , GIANT CELL ARTERITIS - PRIMARY CNS VASCULITIS E. MENINGITIS ( SYPHILIS , TUBERCULAR , FUNGAL , BACTERIAL , ZOSTER ) F. CARDIOGENIC - MITRAL VALVE CALCIFICATION - ATRIAL MYXOMA - INTRA CARDIAC TUMOR - MARANTIC ENDOCARDITIS G. SUBARACHNOID HEMORRHAGE VASOSPASM H. DRUGS - COCAINE , AMPHETAMINE I. MOYAMOYA DISEASE J. ECLAMPMSIAOTHER TESTS : * CT SCAN IS MORE SENSITIVE IN ASSESSING RECENT VASCULAR ACCIDENTS THAN MRI & SHOULD BE THE INVESTIGATION OF CHOICE. * MRI WITH FAT SATURATION IS AN IMAGING SEQUENCE USED TO VISUALIZE EXTRA OR INTRA CRANIAL ARTERIAL DISSECTION. THIS SENSITIVE TECHNIQUE IMAGES CLOTTED BLOOD WITHIN THE DISSECTED VESSEL WALL. * DUPLEX ULTRASOUND TO MEASURE FLOW VELOCITY IN THE INTERNAL CAROTID ARTRY.
TYPENOTES
DISEASE INFLUENCING FACTORS : DIET, LIFE STYLE, ENVIRONMENT, SMOAKING, ALCOHOL, DRUG ABUSE & LACK OF EXERCISE
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
CAROTID DOPPLER, CT SCAN HEAD, COMPLETE BLOOD COUNT, MRI, MR ANGIOGRAPHY