If the timing of diagnosis fits within 4.5 hours of the onset of symptoms, then patients can be treated with thrombolysis 9. Acute endovascular therapies, often in the form of lysis or clot removal, can be used, particularly in basilar artery occlusion 10. Treatment of posterior inferior cerebellar artery, and posterior circulation strokes in general, depends upon the nature, timing, and severity of symptoms.

In the first twenty-four hours, studies show approximately 75-95% sensitivity for MRI diffusion-weighted images, compared to CT of 16% 8. MRI is far superior to CT in the sensitivity of acute ischemic stroke across all vascular territories. MR angiography and CT angiography both have very high sensitivity for vessel occlusion identification, at 87% and 100% respectively 7.

CT angiography should be utilized if the patient fits thrombolysis therapy guidelines 6. Variations are common and the PICA syndrome for example, often presents with facial pain as the initial symptom and hypoalgesia, affecting either side of face 5.Īs with all cases of suspected stroke, CT or MRI is required urgently to exclude hemorrhagic stroke. There are multiple eponymous posterior stroke syndromes, often presenting incompletely 4. Headache and neck pain is normally the result of full posterior inferior cerebellar artery territory infarcts and is likely secondary to the associated swelling and mass effect 3. Signs of a lateral medullary syndrome may coexist in ~30% 2. Vertigo, nausea and truncal ataxia are the most common presenting features. Siento que tengo calentura.Typically considered the most common territory involved in cerebellar infarction, although at least one study 1 has demonstrated similar frequencies of PICA and superior cerebellar artery (SCA) infarcts. There are several words to express the different meanings of ‘hot’ and here is a list to help you learn and understand their uses so you don’t get yourself in an awkward situation! In Spanish, however, we don’t use just one word to say that a plate is hot, or that the salsa is hot, or that it’s hot outside, or that we’re hot and sweaty, or that the actor in your new series is hot. We usually can understand the specific meaning of what someone is trying to say through the context, body language and intonation. In English, the adjective ‘hot’ is used for many different situations. In this blog, we’re going to teach you all the different words in Spanish for the adjective ‘hot’ in English. Especially here in the Yucatan Peninsula, the people are so kind and happy that you’re learning Spanish, they don’t mind the occasionally embarrassing or funny slip-ups. We tell our students to keep a sense of humor. Even if the person you’re speaking with doesn’t come right out to tell you that what you’ve said isn’t correct, if you’re observant, you can see their facial expression change to either confusion or surprise and this opens you up to ask where you went wrong.Īs a learner of Spanish, these situations, although embarrassing, have definitely forced me to learn these new vocabulary words and their uses. We have learned that these nuances are much easier to learn in an immersion situation as you are communicating in real-time. It’s normal for us to try to directly translate our ideas into the language we’re learning from our native language and although sometimes this method is effective, other times it can cause some confusion or get us into an embarrassing situation. One fun (and sometimes difficult!) thing about learning a new language is trying to pick up on all the differences between your native language and the one you’re learning. What are the true meanings and uses of calor, caliente, pica, and picante in Spanish?

La pica definition