Post on 13-Apr-2018
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EVENTO CEREBRAL
VASCULAR (EVC)PORTILLA TORRES KAREN EUNICE
RAMOS ORTEGA HERIBERTORENDON ESQUIVEL DANIELA ITZEL
SANCHEZ NAVARRETE LUIS
ROBERTO
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Qu es?
Es l !"#$#%& 'u e !!le*+ (sus!e&s#%&
e $,#-# $e"e."l / u& $#e", '" e !"0l#s#s
e.# u& ,"s,"& -s$ul" el $e"e.") e u&
#$,us (,"s,"& ."us$ e l $#"$ul$#%& $e"e."l )
$us !" u& ,"u1,#s1 ,ee& sus $uss
1s $1u&es e& ,"s,"&s 'e&e"l#2s e ls
3u&$#&es el e&$3l4 5ue&,e6 M4 e& R4 S&-l T"u*#ll R.e",
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E,#l'+
L $us !"#&$#!l e es""ll" u& e-e&, $e"e."
-s$ul" se le ,"#.u/e l 7e$7 e &,e$ee&,es e
7#!e",e&s#%& ",e"#l8 e10s e e&3e"1ees $"#$s8
e&3e"1ees s#s,1#$s ($'ul$#%& #&,"-s$ul"
#se1#&8 leu$e1#8 e,$4)
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L ,"1.s#s -e&s $e"e."l8 #&3",s $&
,"&s3"1$#%& 7e1""0'#$ (e1.l#s)8 -s$ul#,#s
$e"e."l (!"#1"# se$u&"#)8 $les,e"l l,8#.e,es8 / !+l"s &,#$&$e!,#-s !uee& $us"
$0'uls s&'u+&es4
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As+ $1 el $&su1 e $$+&8 el $&su1
e9$es#- e l$7l8 u& ,"u1,#s1 $"&el /
,"s,"&s 7e1""0'#$s #&$"e1e&,& el "#es' es&'" e&," el $e"e."4
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Cls#3#$$#%&
Dese el !u&, e -#s, !,'$ el e-e&,
$e"e." -s$ul" (ECV) #s:u1#$ se $ls#3#$ e&
,"1.%,#$8 e1.l#$8 l$u&" / e $us
es$&$#4
C u& "e!"ese&, u& ;
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El ," ;
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5$,"es e R#es'
EDAD: 1e# :ue ls !e"s&s -&
e&-e*e$#e& s& 10s !"!e&ss es""ll" u&
ECV es, se le ,"#.u/e e& '"& 1e# le&u"e$#1#e&, e ls ",e"#s ,"-s e ls >s4
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SEXO: ls 71."es s& 10s !"!e&ss
es""ll" u& ECV es!e$#l1e&,e e& :uells :ue
7& su3"# e HTA u"&,e u& .ue& !",e e su
-#
Ls 1u*e"es u"&,e el e1."2 e& l se1&
!s,e"#" es,e ,#e&e& u& l, "#es' e es""ll"
u& ECV4
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HERENCIA:$u& el $$#e&,e se le ,"#.u/e el 7e$7
e HTA DIABETES MELLITUS !uee se" ,"s1#,#
!" 'e&e"$#&es / :ue es,s s !,l'+s s&
l,1e&,e ,"s1#,#s e& 'e&es8 u&:ue e& '"& !",e el
es""ll e u& ECV e!e&e es!e$#l1e&,e e u& es,#le -# slu.le
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COSTUMBRES: ls 1ls 70.#,s l#1e&,#$#s
$1 el $&su1 e& e9$es e '"ss e l$7l /
$#'""#ll #&$"e1e&, el "#es' e su3"#" u& ECV4
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EPIDEMIOLOGIA
Es l !"#&$#!l $us e 1ue",e e& el 1u&4
Ls $$#e&,es $e"e."-s$ul"es !uee& $u""#"
$ul:u#e" e8 !e" l 7e1""'# #&,"$"&el / l
,"1.s#s s& ""s &,es e ls $u"e&, >s8 l
3"e$ue&$# 109#1 !" l ,"1.s#s $e"e."l es
e&,"e $u"e&, / sese&, >s4
5ue&,e6 "e-#s es!>l e $"#l'+ ;
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5#s#!,l'+
P" $u1!l#" $& sus 3u&$#&es el $e"e." "e:u#e"e
:ue el 3lu* s&'u+&e $e"e."l (5SC) se
$&s,&,e / !e"1&e&,e4 El 5SC es!"9#11e&,e e 1l1#&
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S# el 5SC $e !" e.* e ; 1l1
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E& el #&3", se !"u$e& .0s#$1e&,e s
3e&%1e&s 3#s#!,l%'#$s8 u& e ells es l
7#!9# ,#sul" e.# l .s,"u$$#%& -s$ul" / el
," s& ls l,e"$#&es 1e,.%l#$s e ls
&eu"&s e.# l .l#$#%& e ls !"$ess
e&2#10,#$s4
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Es,s l,e"$#&es 1e,.%l#$s les#&& l
1e1."& $elul" !e"1#,#e& l ."us$ e&,"
e N l $lul8 se'u# el #&'"es e C /
l sl# e& 3"1 "0!# el K l 1e#
e9,"$elul"4
El "esul, 3#&l es el ee1 $elul" #""e-e"s#.le4
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Ls 3$,"es :ue #&,e"3#e"e& e& l !"u$$#%& el
#&3", $e"e."l / e& su e9,e&s#%&8 1#3#$& el
,#e1! e !"#$#%& e l #s:ue1# s&6
L "!#e2 $& :ue se !"u$e l .s,"u$$#%& (s# es'"ul ,#e1! !" :ue se ."& ls
$l,e"les)4
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L "u!,u" e u& -s s&'u+&e $e"e."l !"u$e u&
EVC 7e1""0'#$4
L ,"1.s#s se !"u$e $u& u& $0'ul .l:ue
u& ",e"# $e"e."l4
L 7#!,e&s#%& ",e"#l l $ul $, &e',#-1e&,e
!" :ue se ."& ls $l,e"les
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L 7#!9# e 7#!e"$! :ue ,#e&e& e3e$,s
>#&s4
Ls &1l+s &,%1#$s e& l $#"$ul$#%&
$e"e."l4
Ls .s,"u$$#&es -s$ul"es !"e-#s / ls
l,e"$#&es e& l s1l"# e l s&'"e4
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T#!s e EVC
H/ $u," ,#!s e ECV6 s $uss !" $lus#&es /
s !" s&'" 7e1""'#s4 L ,"1.s#s / el
e1.l#s1 $e"e."l s& ls 10s $1u&es8 $u""e& e&
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L ,"1.s#s $e"e."l6 es el ,#! 10s $1& e ECV8
$u""e $u& el $0'ul e s&'"e8 (,"1.)
.l:ue el 3lu* s&'u+&e e& u& ",e"# :ue #""#' l
$e"e."4
El $0'ul se 'e&e" 7.#,ul1e&,e e& ",e"#s :ue
!"ese&,& ",e"#es$le"s#s4
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U& $"$,e"+s,#$ e ls ECV ,"1.%,#$s es :ue
7.#,ul1e&,e $u""e& e& l &$7e !"#1e"s 7"s
e l 1>&4
O,"s :ue 1e&u s& !"e$e#s !" A,:ues
Is:u1#$s T"&s#,"#s (AIT)4
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L e1.l# $e"e."l se !"u$e $u& u& $0'ul
(1.l) u ,"s !",+$uls :ue $#"$ul& !" ls
",e"#s8 'e&e"l1e&,e !"-ee&,es el $"2%&8#1!$,& e& el $e"e." .l:ue& el 3lu*
s&'u+&e4
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L $us 10s $1& e e1.l# es l !"ese&$# e
$0'uls :ue 1#'"& ese el $"2%&4 Es,s se 3"1&
u"&,e l 3#."#l$#%& u"#$ul"8 u& ""#,1# :ue se 'e&e"
e& ls ls u"+$uls8 :ue J,#e1.l& e& -e2 e $&,"e"se8!"-$& es,s#s es,&$1#e&, e l $#"$ul$#%& e&
es 2& el $"2%&4
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El ECV $u""e $u& ls $0'uls 'e&e"s !"
es,e 1e$s1 #&'"es& l $#"$ul$#%& / 1#'"&
7$# el $e"e."8 #1!$,& / $lu/e& ls!e:ue>s ",e"#s e es "e'#%&4
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El ECV 7e1""0'#$8 ll1 $1&1e&,e e""1e
7e1""'# $e"e."l8 se !"u$e $u& u& ",e"# e&
el $e"e." se "1!e e*& sl#" l s&'"e 7$# el
#&,e"s,#$# (7e1""'# su."$e)4 Ge&e"l1e&,e
se e.e l !"ese&$# e u& -s s&'u+&e les#&8
e3e$,us u& ,"u1,#s1 $"&e&4
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O," ,#! e ECV $u""e $u& u& ",e"# e3e$,us
se "1!e e& el $e"e." #&u&& el ,e*# $& s&'"e4
Es, es u& 7e1""'# e&," el ,e*# $e"e."l e& s+ /
se e&1#& #&,"!"e&:u#1,s (e&," el !"&:u#1 ,e*# $e"e."l)4
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Cu& $u""e u& 7e1""'# su."$e l !"#
e s&'"e e& 3"1 $&s,&,e !e"*u#$ l 3u&$#%& e ls
$luls $e"e."les4 Ae10s8 l s&'"e $u1ul !e"#
!" l ",e"# !uee $1!"#1#" / u1e&," l !"es#%& el
,e*# $e"e."l #&,e"3#"#e& s+ e& sus 3u&$#&es4
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L $&,# e s&'" e,e"1#& l se-e"# e l
7e1""'# $e"e."l4 E& 1u$7s $ss el !$#e&,e
$& 7e1""'# $e"e."l 1ue"e !" u1e&, e
!"es#%& e ls $luls $e"e."les4 Ls :ue s."e-#-e& l 7e1""'# $e"e."l8 s#& e1."'8 ,#e&e&
"e$u!e"" 10s :ue :uells :ue ,#e&e& ACV
#s:u1#$4
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L "2%& e es, es :ue $u& se $lu/e u& -s8
!",e el $e"e." 1ue"e4 Pe" $u& se "1!e u&
-s l !"es#%& e l s&'"e $1!"#1e el $e"e."8 s#
el !$#e&,e s."e-#-e8 l !"es#%& '"ul1e&,e se
&"1l#2 / el $e"e." !uee "e$u!e"" sus
3u&$#&es4
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El ECV se e3#&e $1 u& s+&"1e $l+$ $"$,e"#2
!" s#'&s / s+&,1s &eu"l%'#$s :ue .#e& !uee& se"
3$les #3uss (su$ee e& l 7e1""'# su."$e&e l $ :ue 7/ es u& $1!"1#s e $&$#e&$#)4
L $"$,e"+s,#$ es l 3e$,$#%& e u& 0"e e,e"1#&8
:ue !uee $&lle-" ese 3s#s 7s, u& 3#$#, 1," se&s#,#-4
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El $1!"1#s -s$ul" !uee se" $us !"
.s,"u$$#%& #s1#&u$#%& el 3lu* s&'u+&e
"esul,& ese u& #s:ue1# 7s, el #&3",
$e"e."l8 .#e&8 !" "u!,u" e l ",e"# & "#'e&
u& 7e1""'#4
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Ts ls s+&,1s el $$#e&,e $e"e."-s$ul"
!"e$e& "e!e&,#&1e&,e / 1e&u 7/ 10s e u&
s+&,1 l 1#s1 ,#e1!4 P" l ,&,8 el $$#e&,e
$e"e."-s$ul" !uee #s,#&'u#"se e ,"s $uss e
1"es l"es e $.e24
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Ls s#'u#e&,es s+&,1s !uee& #$" :ue 7 $u""# u&$$#e&,e $e"e."-s$ul"
Al,e"$#%& el es, e $&$#e&$#6 es,u!"8 $18
$&3us#%&8 '#,$#%&8 $&-uls#&es4 5l, e se&s$#%& e.#l# "e!e&,#& e& l $"8 el ."28
l !#e"&8 es!e$#l1e&,e e& u& l el $ue"!8 se&s$#%&
e "1e$#1#e&,8 #&$"#&$#%& 3$#l s#1e,"+8
e.#l#8 !"0l#s#s !e"# se&s"#l
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C&3us#%& "e!e&,#&8 !".le1 l 7.l" $1!"e&e" l
:ue se 7.l8 3s#8 #s","# ,"s l,e"$#&es
$',#-s4
P".le1 "e!e&,#& e& -e" !" u& !" 1.s *s8
!"# !"$#l e l -#s#%& e $1!s -#sules4
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P".le1 "e!e&,#& l $1#&"8 1"es8 !"# e
e:u#l#."# e $"#&$#%&4
Dl" e $.e2 se-e" "e!e&,#& s#& $us
$&$#4
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E& s#,u$#&es 10s se-e"s e9#s,e l !"# e
$&,"l e es3+&,e"es
V",#'8 #!l!+ (-#s#%& .le)8 7#!$us#
(#s1#&u$#%& e l u#$#%&)8 &0uses8 -%1#,8
!"# el e:u#l#."#8 3, / 3&3.#4
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N#-el e D> T!'"03#$
Ls $lus#&es ",e"#les el $e"e." & lu'"
u&s s#'&s / s+&,1s 1u/ $"$,e"+s,#$s :ue!e"1#,e& "el#2" u& #'&%s,#$ ,!'"03#$ el
lu'" &e se l$l#2 l les#%&4
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Clnica de la circulacin anterior:
A",e"# $"%,#
A",e"# $e"e."l 1e#
Clnica de la circulacin poterior
A",e"# -e",e."l
A",e"# .s#l"
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Sndro!e de la Circulacin Anterior"
A",e"# $"%,#6
Cu& se .s,"u/e es, ",e"# & !s &8 el
!l+'& e #ll#s 3u&$#& su!l#e& l 3l, e
s&'"e4
O,"s -e$es el > es !"$#l8 $1!le, su1 els s s+&"1es :ue s#'ue&4
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Se e.e ,e&e" e& $ue&, :ue s# l les#%& es,0 e& el 7e1#s3e"#
$e"e."l #2:u#e" !"-$"0 3e$,$#%& e& el l $&,""#
el $ue"! ,&, -el 1,"#2 $1 e se&s#.#l#4 l
#&-e"s4
S# l les#%& $e"e."l es,0 e& el l #2:u#e" 7/ l,e"$#%&
el le&'u*e (7e1#s3e"# 1#&&,e)4
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A",e"# Ce"e."l Me#
Ls !$#e&,es e9!"es"& $#e",s s#'&s / s+&,1s6
Des-#$#%& e l $1#su" e ls l.#s
P"# e 3ue"2 el ."2 / !#e"& e& el l $&,""# l
les#%&
P"# e se&s#.#l# e& el l $&,""# l les#%&
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P"# e -#s#%& !" el 1#s1 l :ue l !"# e 3ue"2
Des-#$#%& e ls *s l l $&,""# l !"# e 3ue"2
S# l les#%& $e"e."l es, e& el l #2:u#e" 7/ l,e"$#%&
el le&'u*e (3s#) S# l les#%& $e"e."l es, e& el l e"e$7 el !$#e&,e &
"e$&$e es," e&3e"1 (&s'&s#)4
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A",e"# Ce"e."l Me#
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A",e"# Ce"e."l A&,e"#"
Ls !$#e&,es !"ese&,"& ls s#'&s6
Pe"# e 3ue"2 e& l !#e"& $&,""# l les#%& T"s,"& u"#&"#
Ps#.le l,e"$#%& el le&'u*e (3s#) s# l les#%& es #2:u#e"
D#3#$ul, !" es$"#.#" ('"3#)
Pe"# e #&,e"s !" el e&,"&
C1.#s e !e"s&l#
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A",e"# Ce"e."l A&,e"#"
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S+&"1es e l C#"$ul$#%& Ps,e"#"
A",e"# Ce"e."l Ps,e"#"6
Ls !$#e&,es e9!"es"& ls s+&,1s6
P"# e -#s#%& e l 1#, el $1! -#sul
(7e1#&!s#) $&,""# l les#%&4
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A",e"# Ce"e."l Ps,e"#"
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A",e"# Ve",e."l
Se e9!"es"& ls s#'u#e&,es s#'&s / s+&,1s6
Al,e"$#%& e l se&s#.#l#
Al,e"$#%& el 7.l
Dl" Ce3le
N0uses
V",#' I&es,.#l# !" $1#&"
V#s#%& .le
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A",e"# Ve",e."l
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A",e"# Bs#l"
Se !"ese&,& ls s#'u#e&,es s+&,1s6
Al,e"$#%& e l $&$#e&$#8 #&$lus $1
Pe"# e 3ue"2 e& ls e9,"e1#es
Al,e"$#%& e& l 1-#l# e ls *s
D#3#$ul, !" 7.l"8 #&$lus 1u,#s1
A1&es#
Alu$#&$#&es
Al,e"$#&es -#sules8 #&$lus $e'ue"
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A",e"# Bs#l"