Sudden Onset of Weakness

physiology of cerebral blood flow
1. myogenic regulation
2. neurogenic regulation
3. flow / metabolism neural coupling
headaches
1. primary
  1. cluster
  2. tension
  3. Migraine
2. secondary
  1. tumor
  2. hematoma
  3. Meningitis
  4. post traumatic
facial nerve lesion
1. UMNL
  1. lesion above the facial nuclei
  2. it cause contralateral droop of the lower muscles of facial expression
2. LMNL
  1. lesion below the facial nuclei
  2. it cause paralysis in the upper and lower muscles of the facial expression in the same side
strokes
1. signs and symptoms
  1. NUMBNESS or weakness of face
  2. Sudden CONFUSION, trouble speaking
  3. dizziness
  4. HEADACHE
2. Differential diagnosis
  1. intracranial hemorrhage
  2. transient ischemic attack
  3. seizure
3. risk factors
  1. Modifiable
    1. smoking
    2. Diabetes
    3. heart diseases
  2. non-modifiable
    1. age
    2. sex
    3. race
4. pathophysiology
  1. ischemic
    1. thrombic
    2. embolic
    3. hypoxic stroke
  2. hemorrhagic
    1. intracranial
    2. Subarachnoid
      1. causes
        aneurysm
        AVM
        traumatic head injury
5. Investigations
  1. CT
  2. MRI
  3. Angiography
6. complications
  1. DVT
  2. Depression
  3. Chronic headaches
  4. Dysphasia
7. Management
  1. Rehabilitations
    1. repetitive practice And to practice those skills impaired due to the stroke
    2. SPEECH-LANGUAGE THERAPY
    3. PHYSICAL THERAPY
    4. PHYSICAL THERAPY OCCUPATIONAL THERAPY
    5. NEUROLOGICAL THERAPY
  2. Primary
    1. Determine whehter the lesion is ischemic or hemorrhagic
      1. ischemic
        IV tPA
        Aspirin
      2. hemorrhagic
        surgery

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Sudden Onset of Weakness

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