Fast Five Quiz: Stroke

Richard H. Sinert, DO

Disclosures

November 06, 2020

Consider stroke in any patient presenting with acute neurologic deficit or any alteration in level of consciousness. Common signs and symptoms of stroke include the abrupt onset of any of the following:

  • Hemiparesis, monoparesis, or (rarely) quadriparesis

  • Hemisensory deficits

  • Monocular or binocular visual loss

  • Visual field deficits

  • Diplopia

  • Dysarthria

  • Facial droop

  • Ataxia

  • Vertigo (rarely in isolation)

  • Aphasia

  • Sudden decrease in the level of consciousness

Although such symptoms can occur alone, they are more likely to occur in combination. Seizures are more common in hemorrhagic stroke than in ischemic stroke. They generally occur at the onset of the intracerebral hemorrhage or within the first 24 hours.

Read more about the presentation of hemorrhagic stroke.

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