b.Subarachnoid (5%) – result from aneurismal rupture of acerebral artery with blood loss into space surrounding thebrain; evolve over 1 –2 hours.
Large (40%) or small (20%) vessel thrombosis-most commonly occur in presence of atheroscleroticcerebrovascular disease-vascular changes or lipohyalinosis found in small deep penetratingarteries as associated with chronic hypertension can lead to smallvessel thrombosis.-rapid or prolonged interval of onset and may lead last many hours
Cerebral embolism (20%)-usually a cardiac origin-frequently result of chronic ischemic cardiovascular disease withsecondary ventricular wall hypokinessis or artial arrhythmia – bothconditions increase risk of intracardiac thrombus formation-quick onset and fully develop in a matter of minutes
Temporal Classification of Stroke1.Transient ischemic attack (TIA)
neurologic symptoms develop and disappear over severalminutes and completely resolve in 24 hours
most frequently associated with atherosclerotic carotid arterydisease
2.Reversible Ischemic Neurologic Deficit
likely the result from small infarctions (Lacunes) of the deepsubcortical gray and white matter resulting in only temporaryimpairment
3.Stroke in Evolution
describe an unstable ischemic event characterized by theprogressive development of more severe neurologic impairment
often associated with active occlusive thrombosis of a majorcerebral artery.
Once stable called Complete Stroke
Most important sign – Intellectual RegressionPage