Etiology | Frequency | History By Patient | CT Scan | Doppler* | Therapy |
---|---|---|---|---|---|
Embolic | 55% | Sudden, Maximal Onset | normal<24hrs | decreased | TPA,Heparin,ASA |
Lacune | 15% | HTN; Gradual Onset | lacunes | -- | Treat HTN |
Carotid Dz | 10% | Sudden Occlusion / TIA's | MCA** stroke | ++ | Surgery, APA |
Vert-basilar | 10% | Spells, Syncope | MRI | +/- | Heparin, ASA |
Hemorrhagic | 10% | HTN | positive for blood | -- | Surgery,Nimodipine |
HTN=Hypertension | |||||
APA=antiplatelet agent such as clopidogrel or ticlopidine | |||||
*Carotid Doppler results | |||||
**changes consistent with old middle cerebral artery (MCA) stroke may be seen |