Flashcards in Stroke Presentations Deck (10)
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1
MCA Syndrome
-hemiplegia
-global aphasia
-brachial syndrome (weakness of UE)
-facial weakness and motor aphasia
-combo of sensory disturbance, motor weakness and motor aphasia
2
Anterior Cerebral Artery (ACA) Syndrome
-uncommon
-occlusion may affect both hemispheres
-contralateral hemiparesis and sensory loss in the LE
-abulia (delay in verbal and motor response)
-akinetic mutism
3
Internal Carotid Syndrome
-depends on how it was occluded
-could be asymptomatic if circle of willis is functioning correctly
4
PCA syndrome
-Weber syndrome
-subthalamus, thalamus and ipsilateral cerebral peduncle and midbrain
-thalamic syndrome (abnormal sensation of pain, temp, proprioception and touch)
-sensations may be exaggerated and light pressure may be interpreted as painful
-apathy, amnesia
-disinhibition syndromes with personality changes, loss of self-activation, thalamic dementia
-hemiplegia
-ataxia
-cranial nerve III palsy
-hemiballismus
5
Vertebral and PICA Syndrome
-ischemia is not always manifested because of collateral circulation
-lateral medulla and posteroinferior cerebellum
-vertigo, nausea, hoarseness, dysphagia
-ipsilateral ataxia, ptosis, impariement of sensation to ipsilateral face
6
Basilar Artery syndrome
-brainstem, corticospinal tract, corticobulbar tract, medial and superior cerebellar peduncles, spinothalamic tracts and cranial nerve nuclei affected
-symptoms are unilateral involving sensory and motor aspects of cranial nerves
7
Sup. Cerebellar Artery Syndrome
-severe ipsilateral cerebellar ataxia
-nausea
-vomiting
-dysarthria (slurring of speech)
dysmetria
8
AICA Syndrome
-horner's syndrome
-ipsilateral deafness
-facial weakness
-vertigo
-nausea and vomiting
-nystagmus
-ataxia
9
Lacunar Syndrome
-found in basal ganglia, internal capsule, pons
-asymptomatic
-20% of cases show slow, progressive s/s
-weakness of the face, dysarthria
-ataxia, clumsiness, weakness
10
