Ischemic stroke (summary)

Changed by Derek Smith, 15 Feb 2015

Updates to Article Attributes

Body was changed:

in progress

  • this is a basic article for medical students and non-radiologists
  • for more information, see the main stroke article

Stroke is a clinical diagnosis where an acute neurological deficit follows a cerebrovascular insult.

There are two main groups of stroke: ischaemic (80%) or haemorrhagic (20%).

Epidemiology

Stroke is an extremely common condition - it is the leading cause of disability and the second cause of morbidity.

Vascular risk factors are shared in ischaemic stroke (age, male gender, family history, hypertension, smoking, hyperlipidaemia, diabetes).  Hypertension is also a primary risk factor in haemorrhagic strokes.

Clinical presentation

Stroke is a sudden neurological deficit.  The symptoms that manifest depend on the vascular territories involved.  In any patients with acute neurological changes (motor, sensory, speech, vision, consciousness, behaviour) a stroke should be considered.

Time of onset is important when considering treatment options.  There can be fluctuance in symptoms over time.

Pathology

Radiographic features

CT
CTA
MRI

Treatment and prognosis

Differential diagnosis

  • -<li>for more information, see the main <a title="stroke" href="/articles/stroke">stroke</a> article</li>
  • -</ul><p><strong>Stroke</strong> is a clinical diagnosis where an acute neurological deficit follows a cerebrovascular insult.</p><h4>Epidemiology</h4><h4>Clinical presentation</h4><h4>Pathology</h4><h4>Radiographic features</h4><h5>CT</h5><h5>CTA</h5><h5>MRI</h5><h4>Treatment and prognosis</h4><h4>Differential diagnosis</h4>
  • +<li>for more information, see the main <a href="/articles/stroke">stroke</a> article</li>
  • +</ul><p><strong>Stroke</strong> is a clinical diagnosis where an acute neurological deficit follows a cerebrovascular insult.</p><p>There are two main groups of stroke: ischaemic (80%) or haemorrhagic (20%).</p><h4>Epidemiology</h4><p>Stroke is an extremely common condition - it is the leading cause of disability and the second cause of morbidity.</p><p>Vascular risk factors are shared in ischaemic stroke (age, male gender, family history, hypertension, smoking, hyperlipidaemia, diabetes).  Hypertension is also a primary risk factor in haemorrhagic strokes.</p><h4>Clinical presentation</h4><p>Stroke is a sudden neurological deficit.  The symptoms that manifest depend on the <a title="vascular territories" href="/cases/cerebral-vascular-territories">vascular territories</a> involved.  In any patients with acute neurological changes (motor, sensory, speech, vision, consciousness, behaviour) a stroke should be considered.</p><p>Time of onset is important when considering treatment options.  There can be fluctuance in symptoms over time.</p><h4>Pathology</h4><h4>Radiographic features</h4><h5>CT</h5><h5>CTA</h5><h5>MRI</h5><h4>Treatment and prognosis</h4><h4>Differential diagnosis</h4>

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