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- W2526700134 abstract "Cerebrovascular disease is a dreaded complication of some rheumatologic disorders. Early recognition and prompt treatment are essential. Any sudden neurologic event is suggestive of stroke; the time course, associated symptoms, and the patient’s own ecology will help determine the type of stroke. This article describes the various cerebrovascular syndromes and how specific rheumatologic diseases cause them to occur. The first step in examining a patient with sudden neurologic deficits is to differentiate stroke from other causes such as seizure and migraine. Seizures typically last less than 2 minutes and are associated with an altered level of consciousness and gradual resolution of symptoms; associated risk factors for seizures may be apparent. Migraine aura typically lasts longer than 5 minutes and the symptoms spread, expand, and are often positive sensory phenomena, such as tingling or light flashes. Headaches may precede or occur with the aura, although occasionally aura occurs without headache; this may often be difficult to differentiate from a transient ischemic attack (TIA). Once a stroke has been recognized, then it must be classified by subtype: cerebral infarction, intracerebral hemorrhage, or subarachnoid hemorrhage. Intracerebral and subarachnoid hemorrhage are often distinguished by decreased level of consciousness, headache, nausea or vomiting, and worsening over hours. Ischemic events are typically maximal at onset, without headache or altered consciousness. A TIA by definition lasts less than 24 hours, typically 5 to 15 minutes. The treatment of stroke is divided into acute stroke therapies and more long-term treatment of the underlying illness and prevention of recurrent strokes." @default.
- W2526700134 created "2016-10-07" @default.
- W2526700134 creator A5068086343 @default.
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- W2526700134 date "1997-01-01" @default.
- W2526700134 modified "2023-09-24" @default.
- W2526700134 title "CEREBROVASCULAR OF RHEUMATIC DISEASE" @default.
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