Akuter ischämischer Schlaganfall: Wichtigste Behandlungsarten
Über den Vortrag
Der Vortrag „Akuter ischämischer Schlaganfall: Wichtigste Behandlungsarten“ von Roy Strowd, MD ist Bestandteil des Kurses „Ischämischer Schlaganfall und intrakranielle Blutungen“.
Quiz zum Vortrag
What is the primary purpose of a CT scan in a patient who presents with stroke symptoms?
- To determine if there is any sign of intracranial bleeding
- To determine the size of the stroke
- To determine the location of the stroke
- To determine the level of disability the stroke will cause
- To determine whether a patient is a candidate for tPA
What is the next step in the management of a patient with an acute ischemic stroke (without any bleeding on CT) if they are not a candidate for tPA due to the time elapsed since the last known time without symptoms?
- Give aspirin
- Obtain brain MRI
- Obtain neurologic consultation
- Admit to ICU or stroke unit
- Administer anticoagulants (heparin or low-molecular-weight heparin)
What is one of the absolute contraindications to tPA for acute stroke?
- Open heart surgery 1 week ago
- Previous ischemic stroke 1 year ago
- Hip replacement surgery 1 month ago
- Systolic blood pressure of 165
- Diastolic blood pressure of 100
What is a relative contraindication to tPA for a patient presenting with ischemic stroke symptoms?
- Glucose < 50 since hypoglycemia may mimic stroke
- Mild to moderate stroke symptoms on the NIH stroke scale
- CT with no abnormal findings around the middle cerebral artery
- Symptoms rapidly worsening in the emergency department
- Stroke symptoms waxing and waning for more than 24 hours
How is a thrombectomy performed in a patient with a middle cerebral artery (MCA) stroke?
- IV catheter through the femoral artery up to the cerebral circulation
- IV catheter through the femoral vein up to the cerebral circulation
- IV catheter through the carotid artery up to the cerebral circulation to place a stent
- IV catheter through the subclavian vein up to the cerebral circulation
- Transcranial access to the middle cerebral artery to deliver intra-arterial tPA
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Dozent des Vortrages Akuter ischämischer Schlaganfall: Wichtigste Behandlungsarten
Roy Strowd, MD
Dr. Roy Strowd is the Assistant Dean of Undergraduate Medical Education at the Wake Forest Baptist Medical Center, in North Carolina, USA.
He obtained his MD from Wake Forest School of Medicine in 2009, and his MEd from Johns Hopkins University in 2021. Currently, he co-directs the Neurofibromatosis and Tuberous Sclerosis Clinics at Wake Forest Baptist Medical Center, and is a researcher for the Adult Brain Tumor Consortium (ABTC) and Alliance for Clinical Trials in Neuro-Oncology.
Due to his achievements, he earned the M. Brownell Anderson Award from the Association of American Medical Colleges.
Within Lecturio, Dr. Strowd teaches courses on Clinical Neurology.
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