STROKE-PRESENTATION, THROMBOTIC

SUMMARY

1. Neurologic symptoms often occur during sleep in a slow, stepwise progression (termed "stroke in evolution").

2. LOC is rare except when the area of infarction is large or brainstem is involved.

3. 50% patients have a history of TIAs in the same distribution as the presenting symptoms of their stroke.

4. Rarer causes of thrombosis are lupus anticoagulant, polycythemia, meningovascular syphilis, dissecting aortic aneurysm, and thrombocytosis.

5. Emboli from an incompletely thrombosed artery may precipitate an abrupt deficit.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].