Posterior Circulation
The exam to determine peripheral vs central etiology
What is the HiNTS exam?
Common Presenting Symptoms of Posterior Circulation Stroke
What is Dizziness, Headache, N/V , Unilateral limb weakness, and Dysarthria.
Patients suspected for LVO/ eligibility for neuro intervention is evaluated by
What is NIHSS ≥ 6/Cortical signs (Gaze, Aphasia, or Neglect)?
Time frame to receive Alteplase from symptom onset
What is 4.5 hrs?
The most effective treatment for removal of clots in the large vessels of the brain.
What is Mechanical Thrombectomy?
Common cause of stroke in young people with whiplash trauma
What is a vertebral or carotid dissection?
The primary cause of Wallenberg Syndrome
What is stroke in lateral medulla?
Positive DWI with a negative FLAIR indicates that the patient meets eligibility for Alteplase by this protocol
What is Wake-up stroke protocol?
The approximate amount of brain cells damaged per minute during a stroke.
1.9 million
This screening should be completed prior to PO intake
What is Swallow Screen or Yale Protocol?
HiNTS stands for
What is Head impulse testing, Nystagmus, and Test of Skew
Complete paralysis is a symptom this posterior syndrome
What is “Locked-In” Syndrome?
BP parameter for Thrombolytic bolus
What is SBP ≤ 185 / DBP ≤ 110?
Stroke transfer goal time for BHIP
What is 100Mins?
The advanced imaging used to diagnose acute large vessel occlusion (LVO).
CTA
Ischemic strokes comprise 87% of all strokes, approximately ______ of ischemic strokes are posterior strokes.
What is 20%?
Hallucinations and behavioral changes, Disorientation, Cortical blindness describes this type of posterior stroke
What is “Top of the Basilar” syndrome?
BP parameter for Thrombolytic infusion
What is the SBP ≤ 180 / DBP ≤ 105?
BHIPs Door to Needle Goal
What is 30 Mins?
The Acronym BE FAST stand for
What is Balance, Eyes, Face, Arms, Speech, Terrible HA/Time?
The major artery artery that feeds the brain stem
What is the basilar
The 5 D’s of posterior stroke
What is Dizziness, Diplopia, Dysarthria, Dysphagia, Dystaxia?
SBP parameter for Intracranial Hemorrhage
What is the SBP < 140 mmHg?
Time frame for advanced intervention (Thrombectomy) from symptom onset
What is Up to 24Hrs?
Vasospasm Prophylaxis is used for Subarachnoid Hemmorhage
What is Nimotop (Nimodipine)?