Etiology of Ischemic Stroke

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Questions and Answers

Which type of stroke is characterized by small vessel occlusion?

  • Large vessel thrombosis
  • Lacunar stroke (correct)
  • Paradoxical embolus
  • Cardioembolic stroke

Which of the following is a cause of embolic occlusion?

  • Aortic dissection (correct)
  • Subarachnoid hemorrhage
  • Venous sinus thrombosis
  • Large vessel thrombosis

What is a potential complication of atrial fibrillation related to ischemic stroke?

  • Subarachnoid hemorrhage
  • Paradoxical embolus
  • Cardioembolic stroke (correct)
  • Thrombotic occlusion

What condition can cause a paradoxical embolus?

<p>Atrial septal defect (A)</p> Signup and view all the answers

Which of the following is NOT commonly associated with ischemic strokes?

<p>Subarachnoid hemorrhage due to vasospasm (B)</p> Signup and view all the answers

Flashcards

Thrombotic Stroke

Ischemic stroke caused by a blood clot forming within a blood vessel.

Lacunar Stroke

Small vessel stroke caused by a blood clot in a small blood vessel

Large Vessel Thrombosis

Ischemic stroke caused by a blood clot in a major artery.

Embolic Stroke

Ischemic stroke caused by a blood clot or other material traveling to the brain.

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Cardioembolic Stroke

Stroke caused by a blood clot originating from the heart.

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Atrial Fibrillation

Heart rhythm disorder that increases risk of stroke.

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Paradoxical Embolus

Blood clot traveling to the brain through a hole in the heart.

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Venous Sinus Thrombosis

Stroke caused by a blood clot in a vein draining the brain.

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Study Notes

Etiology of Ischemic Stroke

  • Thrombotic occlusion:

    • Small vessel (lacunar) stroke
    • Large vessel thrombosis
  • Embolic occlusion:

    • Artery-to-artery: Carotid bifurcation, aortic arch, arterial dissection
    • Cardioembolic: Atrial fibrillation, mural thrombus, myocardial infarction, dilated cardiomyopathy, valvular lesions, mitral stenosis, mechanical valve, bacterial endocarditis
    • Paradoxical embolus: Atrial septal defect, patent foramen ovale
    • Venous sinus thrombosis
    • Subarachnoid hemorrhage due to vasospasm

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