Difference between incomplete and complete SCI
Incomplete SCI can still send some messages to brain, meaning people with this injury can still have some feeling, function, and muscle control below site of injury
What is the order of the meninges (outside to inside)
Dura mata
Arachnoid mata
Pia mata
What are the 3 main regions of the brain and what do they do
Cerebrum - higher order thinking and motor + sensory info
Cerebellum - Coordination and balance
Brainstem - Autonomic functions
What is the role of the ventricles
Produce cerebrospinal fluid and transport it around the cranial cavity
What are the 4 lobes of the cerebrum and what do they do
Frontal - Motor function and cognitive processing
Parietal - Vision, hearing, memory
Temporal - Language and spatial perception
Occipital - Interprets visual info
Memorise the symptoms of blood vessels (at the start of wk 10)
Do it fucktard
What blood vessels are a part of the circle of willis
PCA
MCA
ACA
Ischaemic vs Hemorrhagic stroke
Ischaemic - loss of blood supply
Hemorrhagic - bleeding into the brain via rupture
What is the acronym for stroke recognition
FAST
Face drop
Arms lift
Speech slurred
Time is critical. call 000
What is the Hunt and Huss Scale
A scale for classifying the severity of a hemorrhagic stroke
What are the two forms of medical management for ischemic stroke
Thrombolytic drugs (dissolves clot)
Endovascular clot retrieval
What can bleeding and inflammation cause in the brain during/after a hemorrhagic stroke
Compression of the brain and raise the ICP
What is normal ICP
10-15mmHg
What are the consequences of raised ICP
Cell death
Herniation (pressure causes brain to push past suture lines)
Brain begins to push down through foramen magnum
How to control ICP
Airway and ventilation (No Coughing)
Medication (blood pressure)
Positioning (elevate head 15-30deg to help drain of CSF)
What are some surgical procedures that can be performed post hemorrhagic stroke
Burr holes
Craniotomy
Craniectomy
External Ventricular Drain
What specialised treatment need to be completed within 24hrs of stroke
Swallowing screen (dysphagia)
Physiotherapy
Speech therapy
OT
Why does the shoulder prone to sublaxation in stroke pt
Weakness of the shoulder muscles and weight of gravity can cause the HOH to sublux
How is shoulder sublimation assessed
Palpation between the acromion and HOH
