01: CT Angiogram

Case 01 CT Angiogram

What abnormalities if any can you see?

Study the CTA image above and answer the questions below.

20: Hyperacute stroke decision making for clinicians

This module was developed by:

Prof Martin Dennis, Professor of Stroke Medicine, The University of Edinburgh
Jacqueline Aim, e-learning Content Developer, Interactive Content, The University of Edinburgh

Experienced colleagues:

  • Prof Mark Barber, Stroke Physician, NHS Lanarkshire
  • Dr Tracey Baird, Consultant Neurologist, NHS Greater Glasgow and Clyde
  • Dr Anthony Pereira, Consultant Neurologist and Stroke Physician, St George’s Hospital, London
  • Dr Shelagh Coutts, Professor of Neurology, University of Calgary, Canada
  • Dr William Whiteley, Reader, Deanery of Clinical Sciences, Centre for Clinical Brain Sciences, The University of Edinburgh

Scans and interpretation by:

Dr Paul Armstrong, NHS Greater Glasgow and Clyde, Institute of Neurological Sciences

Reviewers:

Dr Fiona Wright, Consultant Stroke Physician, Glasgow Royal Infirmary and deputy advisor to the Chief Medical Officer

Dr Wazim Izzath, Consultant Interventional Neuroradiologist, NHS Greater Glasgow and Clyde, Institute of Neurological Sciences

Please note there is no formal assessment associated with this module.

You can receive a confirmation certificate indicating that you have accessed the resource if you complete a short evaluation questionnaire at the end of the module. 

Case 01

Case 01 CT Angiogram

Clinical history and examination

Age: 82 years, Female.
Time of presentation: 11.00

History of event

  • Symptoms: stopped speaking, right face drooped and unable to use right arm or stand
  • Onset: 09.00 up and about, witnessed by husband,  Current time interval since last known well: 2 hrs (120 mins)

Past medical history

  • Hypertension
  • Previous angina

Relevant medications

  • Aspirin
  • Statin
  • ACE inhibitor

Relevant social history

  • Living circumstance: at home with husband
  • Prior function and care needs: independent
  • Work/hobbies: retired, bingo, reading

Examination

  • Pulse: 72, BP: 175/92
  • Neuro:
    • Handedness: right handed
    • NIHSS:  22
    • Deficits: global aphasia, severe right hemiparesis, inattention right visual field

Investigations requested with non imaging results

  • ECG SR
  • LVH
  • Recent blood tests normal

Bladder quiz

Q. Answer yes or no to the following statements about the Bladder.

All Core Competencies

All Advanced Modules

Useful resources

  • Emotion Matters NES e-learning module.
  • CHSS Coming to terms with a stroke info booklet.
  • Different strokes website – charity supporting younger stroke survivors.