Difference between revisions of "Cerebrovascular accident"

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#redirect [[Neuropathology#Cerebrovascular_accident]]
'''Cerebrovascular accident''', abbreviated '''CVA''', is a common neurologic pathology.  It is also known as a '''stroke'''.
 
==General==
*Very common.
*Leading cause of morbidity and mortality.
 
Clinical classification:
# Hemorrhagic stroke.
# Ischemic stroke.
 
==Gross==
*Soft/mushy brain.
*Older [[infarct]]s.
**A "roof" is present - a thin submeningeal layer is preserved by the CSF.<ref>MUN. 16 December 2009.</ref>
***"Roof" is absent in trauma.
**Cavity - in older infarcts.
***''[[Multiple sclerosis]]'' does not cavitate.
*Laminar necrosis = (thin) chalky line replaces grey mater.<ref>URL: [http://moon.ouhsc.edu/kfung/jty1/neurotest/Q03-Ans.htm http://moon.ouhsc.edu/kfung/jty1/neurotest/Q03-Ans.htm]. Accessed on: 26 October 2010.</ref>
**[[AKA]] ''pseudolaminar necrosis'' - as it is not localized to a specific layer of the cortex.<ref>MUN. 26 November 2010.</ref>
 
DDx:
*[[Cerebral contusion]].
 
==Microscopic==
Features:
*Ischemic neurons.
*+/-Neuronal loss.
*+/-Microglial.
*+/-[[Thrombosis]].
*+/-[[Atherosclerosis]].
 
==See also==
*[[Neuropathology]].
 
==References==
{{Reflist|2}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Neuropathology]]

Revision as of 06:13, 15 November 2014

Cerebrovascular accident, abbreviated CVA, is a common neurologic pathology. It is also known as a stroke.

General

  • Very common.
  • Leading cause of morbidity and mortality.

Clinical classification:

  1. Hemorrhagic stroke.
  2. Ischemic stroke.

Gross

  • Soft/mushy brain.
  • Older infarcts.
    • A "roof" is present - a thin submeningeal layer is preserved by the CSF.[1]
      • "Roof" is absent in trauma.
    • Cavity - in older infarcts.
  • Laminar necrosis = (thin) chalky line replaces grey mater.[2]
    • AKA pseudolaminar necrosis - as it is not localized to a specific layer of the cortex.[3]

DDx:

Microscopic

Features:

See also

References

  1. MUN. 16 December 2009.
  2. URL: http://moon.ouhsc.edu/kfung/jty1/neurotest/Q03-Ans.htm. Accessed on: 26 October 2010.
  3. MUN. 26 November 2010.