{"id":8884,"date":"2013-05-19T15:47:54","date_gmt":"2013-05-19T19:47:54","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=8884"},"modified":"2013-06-13T01:51:07","modified_gmt":"2013-06-13T05:51:07","slug":"cva-cerebrovascular-accident","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2013\/05\/cva-cerebrovascular-accident\/","title":{"rendered":"CVA (Cerebrovascular Accident)"},"content":{"rendered":"<p>CVA is a neurological event as described below:<\/p>\n<h4>Pathophysiology of CVA<\/h4>\n<p><strong>1)<\/strong> necrosis of brain cells caused by a vascular event &#8211; usually classified as ischemic (embolus, thrombus, low flow state secondary to shock or cardiac event) or hemorrhagic (aneurysm, hypertension)<br \/>\n<strong>2)<\/strong> most common site of hypertensive CVA is basal ganglia-thalamus area (65%)<br \/>\n<strong>3)<\/strong> clinical presentation is a function of anatomic position of injury<\/p>\n<p><!--more--><\/p>\n<h4>Signs and Symptoms<\/h4>\n<p><strong>1)<\/strong> ischemic CVA tends to have a somewhat gradual or &#8220;stutter&#8221; onset with preceding <a href=\"http:\/\/en.wikipedia.org\/wiki\/Transient_ischemic_attacks\">transient ischemic attacks<\/a><br \/>\n<strong>2)<\/strong> hemorrhagic usually acute onset with possible transtentorial herniation as hematoma expands<br \/>\n<strong>3)<\/strong> CVA in the cerebellar area &#8211; ataxia, headache, and vomiting<br \/>\n<strong>4)<\/strong> CVA in the pontine area &#8211; acute loss of consciousness and usually fatal<br \/>\n<strong>5)<\/strong> middle cerebellar artery area &#8211; headache, partial or complete hemiparesis, partial or complete hemiplegia and aphasia if dominant lobe is affected<\/p>\n<h4>Characteristic Test Findings<\/h4>\n<p><em>Radiology<\/em> &#8211; best initial screening for CVA test is head CT (ischemic may not become evident for up to 48 hours)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CVA is a neurological event as described below: Pathophysiology of CVA 1) necrosis of brain cells caused by a vascular event &#8211; usually classified as ischemic (embolus, thrombus, low flow state secondary to shock or cardiac event) or hemorrhagic (aneurysm, hypertension) 2) most common site of hypertensive CVA is basal ganglia-thalamus area (65%) 3) clinical [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[5103],"tags":[5618,5617,1305,5619,2050],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CVA (Cerebrovascular Accident) - InsideSurgery Medical Information Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/insidesurgery.com\/2013\/05\/cva-cerebrovascular-accident\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CVA (Cerebrovascular Accident) - InsideSurgery Medical Information Blog\" \/>\n<meta property=\"og:description\" content=\"CVA is a neurological event as described below: Pathophysiology of CVA 1) necrosis of brain cells caused by a vascular event &#8211; 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