Pathophysiology of cerebrovascular accidents (CVAs) is any abnormality or blockage of blood flow to the brain leading to a stroke. There are different types of strokes along with different areas where strokes can take place in the brain leading to different neurological deficits in the patient
A thrombotic stroke is where thrombi have formed within the arteries or intracranial vessels supplying the brain. An embolic stroke is when an embolus has formed outside the brain and travels to the brain via the bloodstream. Thrombotic and embolic strokes, also known as ischemic strokes are the most common, accounting for 87% of the strokes that occur.
The clinical manifestations of a thrombotic or embolic stroke are contralateral hemiparesis or hemiplegia, expressive aphasia, and dysphagia, hemianopia and quardranopsia. A simple screening tool for clinical manifestations of a stroke is BE-FAST. Balance, Eyes, Face, Arm, Speech, Time.
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