stroke part 2

Question 1

discuss weber syndrome

Answer 1

CN III palsy

involvement of fascicles of CN III

contralateral hemiparesis

PSY involvement

Question 2

benedikt’s syndrome

Answer 2

CN III palsy

involvement of fascicles of CN III, cerebral peduncle and red nucleus

contralateral hemiparesis

contralateral ataxia, tremor, involuntary movements

Question 3

wallenberg syndrome

Answer 3

lateral medullary syndrome

ipsi ataxia, vertigo, nystagmus and nausea

ipsi facial numbness

contralateral body hermoanalgesia

ipsi horner’s syndrome

Question 4

medial medullary syndrome

Answer 4

contra hemiparesis, dec vibration and position sense

ipsi tounge weakness

Question 5

penetrating artery affectation in internal capsule or BG

Answer 5

contra hemiparesis

incoordianation

Question 6

penetrating artery affectation in brainstem

Answer 6

contra hemiparesis

ipsi appendicular ataxia

ocular signs

Question 7

penetrating artery affectation in penetrating vessel occlusion

Answer 7

pure motor or pure sensory sx

Question 8

discuss veins and venous sinus affectation

Answer 8

focal deficit c HA, seizures

postpartum women or pag young

pag unlikely na arterial edi baka venous

Question 9

discuss ischemia in ICA

Answer 9

transient blindness in one eye

ocassional HA

homonymous visual field defects

language defect

contralateral hemipaersis or hemipelgia s sensory deficit

awaken from sleep unable to move one side

Question 10

consideration of t-PA

Answer 10

if pt arrives to ER < 3-4.5 hrs from when last seen as normal

Question 11

stroke warning signs

Answer 11

weakness

trouble speaking

vision problems

HA

dizziness