Differential Featuresof the Types of Strokes

Feature Ischemic thrombotic Ischemic embolic Hemorrhagic

Evolution Intermittent improvement between episodes of worsening.

Completed stroke. Abrupt development of completed stroke.

Steady progression. Usually abrupt onset.

Onset Daytime (10a.m. – 12 p.m.)

Gradual (minutes to hours). Daytime.

Sudden. Daytime.

Sudden, may be gradual if caused by hypertension.

Level Of Consciousness Preserved (client is awake). Preserved (client is awake). Deepening stupor or coma.

Contributing Associated Factors HTN

Atherosclerosis. Cardiac disease.

HTN

Vessel disorders.

Prodromal TIAs

Neurologic Deficits Deficits during the first few weeks.

Slight headache.

Speech deficits.

Visual problems.

Confusion.

Maximal deficit at onset.

Paralysis.

Expressive aphasia. Focal deficits.

Severe, frequent. 17 Cerebrospinal Fluid Normal, possibly presence of protein. Normal. Bloody. 18 Seizures No No Usually 19 Duration Improvements during weeks to months.

Possibly permanent deficits. Rapid improvements. Variable, possibly permanent neurologic deficits.

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