CVA - 2a Stroke Syndromes Flashcards
(41 cards)
what are the 4 things that the severity of sx depend on
- location of ischemic process
- size of ischemic area
- nature and functions of structures involved
- availability of collateral blood flow
what are the functions of the occipital lobe
vision
understanding the image
what are the functions of the temporal lobe
short term memory
hearing
equilibrium
emotion
association areas in temporal lobe
what are the functions of the primary motor cortex
motor function area
initiation of voluntary movement
location and function of Broca’s area
frontal lobe
muscles of speech
- word retreival -> Broca’s aphasia have word finding difficulties when talking
which hemisphere of the brain is the dominant one
L brain
what are 4 specific qualities/functions of the L hemisphere
- speech, language, comprehension
- wernicke’s and broca’s areas located on L - analysis and calculations
- time and sequencing
- recognition of words, letters, and numbers
what are 4 specific qualities/functions of the R hemisphere
- creativity
- spatial ability
- context/perception
- recognition of faces, places, objects
what is located in both R and L frontal lobes
- motor
- motor deficits, issues w initiation and motor planning (ie motor apraxia) - initiation
- judgment
- safety awareness
- seen more frequently in R strokes
common R sided stroke characteristics
trouble w spatial abilities, perception of surroundings, insight, judgment
what is the blood supply of the frontal lobe
MCA - lateral aspect
ACA - medial aspect
what qualities are found in just the L frontal lobe and just the R frontal lobe
L side
- expressive language
R side
- emotions
- creativity
what function is located in both R and L parietal lobes
sensation
- primary sensory cortex
what is the blood supply of the parietal lobes
MCA - lateral aspect
ACA - medial
what qualities are found in just the L parietal lobe and just the R parietal lobe
L side:
issues w communication
- reading
- writing
- numbers
R side:
- visual perception
- spatial orientation - spatial planning and awareness
- ex: unilateral neglect (perceptual dysfunction)
what is the blood supply of the temporal lobe
MCA
what function is located in both R and L temporal lobes
hearing
what qualities are found in just the L temporal lobe and just the R temporal lobe
L side:
- word memory
- language comprehension
- ex: wernicke’s aphasia
R side:
- music
- nonverbal memory (ie gestures)
what is the blood supply for the occipital lobes
PCA
what functions are located in both R and L occipital lobes
vision
no separate functions between lobes
describe the presentation of someone w a L CVA
R hemiplegia
slow, cautious, uncertain
- d/t effects on initiation
insecure, frustration, anger
better insight
memory problems
aphasia
motor apraxia
R hemianopsia
communication issues
PT strategies specific to a L CVA
give frequent assurance and immediate positive feedback
- break tasks down into steps and practice often
slow things down and be explicit w instructions
- get frustrated easily
describe the presentation of a R CVA
L hemiplegia
quick ** impulsive**
poor insight/judgment
- overestimate abilities
denying problems
emotional lability
unilateral neglect
L hemianopsia
dec spatial orientation
apraxia
PT strategies specific to R CVAs
concerned ab safety and fall risk
- cog skills lack judgment and poor attention span
impulsive and move quickly
