Different Stroke Syndromes

Question 1

Thalamic pain syndrome - occlusion of…

Answer 1

Central territory of PCA

Question 2

Thalamic pain syndrome - s/sx…

Answer 2

Involuntary movements
Contralateral hemiplegia
Paresis of vertical eye movements

Question 3

Thalamic pain syndrome - hallmark sign…

Answer 3

PAIN with everything

Question 4

M medullary syndrome (“Dejerine syndrome”) - occlusion of…

Answer 4

Vertebral a., medullary branch

Question 5

M medullary syndrome (“Dejerine syndrome”) - s/sx…

Answer 5

Ipsilateral impairments
Paralysis w/ atrophy of 1/2 of tongue w/ deviation to PARALYZED side

Contralateral impairments:
Paralysis of UE and LE
Impaired tactile and proprioceptive sense

Question 6

Lateral medullary syndrome (“Wallenburg’s syndrome”) - occlusion of…

Answer 6

PICA or vertebral a.

Question 7

Lateral medullary syndrome (“Wallenburg’s syndrome”) - s/sx…

Answer 7

Ipsilateral:
Decreased pain/temp sensation to face
Cerebellar ataxia
Vertigo/nausea
Nystagmus
Dysphasia

Contralateral:
Impaired pain and thermal sense over 50% of body

Question 8

Complete basilar a. Syndrome - occlusion of…

Answer 8

Basilar a.

Question 9

Complete basilar a. Syndrome - aka…

Answer 9

“Locked-in syndrome”

Question 10

Complete basilar a. Syndrome - s/sx…

Answer 10

Hemiparesis to quadriplegia
B CN palsy
Consciousness and sensation –> SPARED/INTACT
Inability of Pt. to move or speak (but remains A/O)

Question 11

Lateral I pontine syndrome - occlusion of…

Answer 11

AICA

Question 12

Lateral I pontine syndrome - s/sx…

Answer 12

Ipsilateral:
Horizontal and vertical nystagmus, vertigo, nausea, and vomiting
Facial paralysis
Deafness/tinnitus
Ataxia
Impaired sensation over face

Contralateral:
Impaired pain and thermal sense over half of body

Question 13

Contralateral weakness and sensory loss in face, arm > leg

Answer 13

MCA

Question 14

Aphasia

Answer 14

MCA

Question 15

Perceptual problems

Answer 15

MCA

Question 16

Homonymous hemianopsia

Answer 16

MCA

Question 17

Conjugate gaze impairment

Answer 17

MCA

Question 18

Ataxia of contralateral limb

Answer 18

MCA

Question 19

Unilateral contralateral weakness and sensory loss

Answer 19

ACA

Question 20

Mental impairment

Answer 20

ACA

Question 21

Bilateral F lobe involvement (“akinetic mutism”)

Answer 21

ACA

Question 22

Indifferent movement initiation problems, NOT speaking

Answer 22

ACA

Question 23

Urinary incontinence

Answer 23

ACA

Question 24

Homonymous hemianopsia

Answer 24

PCA

Question 25

Difficulty naming familiar people on sight

Answer 25

PCA

Question 26

Dyslexia but able to write; difficulty with color discrimination

Answer 26

PCA

Question 27

Difficulty with memory

Answer 27

PCA

Question 28

Involuntary movements (chorea)

Answer 28

PCA

Question 29

Thalamic syndrome

Answer 29

PCA

Question 30

CN III palsy: ptosis; impaired pupillary light response

Answer 30

PCA

Question 31

Weakness in all extremities and CN Innervations

Answer 31

Basilar a.

Question 32

Diplopia, loss of conjugate and vertical gaze, nystagmus

Answer 32

Basilar a.

Question 33

Blindness, impaired vision or visual field deficits

Answer 33

Basilar a.

Question 34

Cerebellar ataxia

Answer 34

Basilar a.

Question 35

Coma

Answer 35

Basilar a.

Question 36

Thalamic pain syndrome

Answer 36

Basilar a.

Question 37

CN IX and X: dysphagia, ipsilateral paralysis of vocal cords, hoarseness; loss of pharyngeal reflex; P tongue taste loss

Answer 37

PICA (medulla)

Question 38

Vestibular nuclei: vertigo, nystagmus

Answer 38

PICA (medulla)

Question 39

Trigeminal n.: facial sensory loss

Answer 39

PICA (medulla)

Question 40

Limb ataxia

Answer 40

PICA (medulla)

Question 41

CN VII: ipsilateral facial weakness

Answer 41

AICA (pons)

Question 42

Solitary nucleus (CN IX) and cochlear nuclei: P tongue loss of taste and deafness, ringing in ear, nystagmus

Answer 42

AICA (pons)

Question 43

Conjugate gaze - impairment to pontine center for lateral gaze

Answer 43

AICA (pons)

Question 44

Ataxia

Answer 44

AICA (pons)