TAC - Total Anterior Circulation
ALL of:
- Higher Dysfunction
- Dysphasia
- Visuospatial (neglect/inattention)
- Homonymous Hemianopia
- Motor/Sensory
- FACE/ARM/LEG - 2/3
*epidemiological data suggest 1 year mortality to be 60%, with 36% of those surviving being functionally dependant.
PAC - Partial Anterior Circulation
Either:
- 2/3rds of a TAC
- Higher Dysfunction
- Hemianopia
- Motor/Sensory >2/3 FACE/ARM/LEG
- Higher Dysfunction Alone
- Pure motor or sensory (LESS extensive than LAC)
- New Higher Dysfunction
*epidemiological data suggest 1 year mortality to be 16%, with 29% of those surviving being functionally dependent.
LAC - Lacunar
- Pure Motor: >2/3 FACE/ARM/LEG (Internal capsule, pons, corona radiata)
- Pure Sensory: >2/3 FACE/ARM/LEG (thalamic)
- Sensory Motor: >2/3 FACE/ARM/LEG
- Ataxic Hemiparesis
- Cerebellar with ipsilateral Long Tract Signs
- (NO dysphasia/visuospatial/vertebrobasilar)
*epidemiological data suggest 1 year mortality to be 11%, with 28% of those surviving being functionally dependent.
POC - Posterior Circulation
Any of:
- Ipsilat CN palsy AND contralateral motor/sensory
- Bilat Motor OR Sensory Deficit
- Conjugate Eye Mov’t Problems
- Cerebellar Dysfunction WITHOUT ipsilateral
- Long Tract Signs
- Isolated Homonymous Hemianopia or cortical blindness
*epidemiological data suggest 1 year mortality to be 19%, with 19% of those surviving being functionally dependant.