Cerebrovascular accident

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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.