Neurology Exam Prep Podcast Episode 25: Stroke Cases
Dec 7, 2020
Join Dr. Reshma Narula, a stroke attending, as she dives into the fascinating world of stroke cases alongside Dr. Safa Abdelhakim. They explore critical scenarios like sudden right-sided weakness and mild aphasia, emphasizing the importance of timely imaging techniques for stroke assessment. The discussion reveals the intricate management of atrial fibrillation post-stroke and the effectiveness of direct oral anticoagulants. They also tackle challenges in young patients and the complexities of carotid stenosis, shedding light on tailored treatment strategies.
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ASPECTS Guides Thrombectomy Decisions
- Early CT head and CTA imaging are critical to identify large vessel occlusion in acute stroke.
- The Alberta Stroke Program Early CT Score (ASPECTS) helps determine ischemic burden and eligibility for thrombectomy.
Treat Venous Sinus Thrombosis Urgently
- Start anticoagulation immediately with heparin drip for cerebral venous sinus thrombosis without hemorrhage.
- Manage increased intracranial pressure by elevating head, hyperventilating, or doing therapeutic lumbar puncture before anticoagulation.
Antiphospholipid Syndrome Explained
- Antiphospholipid syndrome causes hypercoagulability through autoimmune antibodies.
- It explains recurrent clots and miscarriages and requires specific anticoagulant management like warfarin.