Name
CEREBRO-VASCULAR ACCIDENT
DESCRIPTION
DETAIL
CAUSES OF STROKE : COMMON CAUSES : * THROMBOSIS - LACUNAR STROKE ( SMALL VESSEL) - LARGE VESSEL THROMBOSIS - DEHYDRATION * EMBOLIC OCCLUSION - ARTRY TO ARTRY - CAROTID BIFURCATION - AORTIC ARCH - ARTERIAL DISSECTION * CARDIOEMBOLIC - ATRIAL FIBRILLATION - MURAL THROMBUS - MYOCARDIAL INFARCTION - DILATED CARDIOMYOPATHY * VALVULAR LESIONS - MITRAL STENOSIS - MECHANICAL VALVE - BACTERIAL ENDOCARDITIS * PARADOXICAL EMBOLUS - ATRIAL SEPTAL DEFECT - PATENT FORAMEN OVALE - ATRIAL SEPTAL ANEURYSM - SPONTANEOUS ECHO CONTRAST UNCOMMON CAUSES * 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 - SYSTEMIC LUPUS ERYTHEMATOSUS -HOMOCYSTEINEMIA - THROMBOTIC THROMBOCYTOPENIC PURPURA - DISSEMINATED INTRAVASCULAR COAGULATION - DYSPROTEINEMIAS - NEPHROTIC SYNDROME - INFLAMMATORY BOWEL DISEASE - ORAL CONTRACEPTIVES * VENOUS SINUS THROMBOSIS * FIBROMUSCULAR DYSPLASIA * VASCULITIS - SYSTEMIC VASCULITIS ( PAN, WEGNERS, TAKAYASU, GIANT CELL ARTERITIS ) - PRIMARY CNS VASCULITIS * MENINGITIS ( TUBERCULAR, SYPHILIS , FUNGAL , BACTERIAL , ZOSTER ) * CARDIOGENIC - MITRAL VALVE CALCIFICATION - ATRIAL MYXOMA - INTRACARDIAC TUMOR - MARANTIC ENDOCARDITIS - LIBMAN-SACKS ENDOCARDITIS * SUBARACHNOID HAEMORRHAGE VASOSPASM * DRUGS : COCAIN , AMPHETAMINE * MOYAMOYA DISEASE * ECLAMPSIAOTHER 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 : AGE, HYPERTENSION, DIABETES MELLITUS, DIET, LIFE STYLE, ENVIRONMENT, SMOAKING, ALCOHOL, DRUG ABUSE, HYPERLIPIDEMIA, HYPERHOMOCYSTTEINEMIA & LACK OF EXERCISE
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
BLEEDING TIME, CLOTTING TIME, CAROTID DOPPLER, CT SCAN HEAD, COMPLETE BLOOD COUNT, CEREBRAL ANGIOGRAPHY, MR ANGIOGRAPHY