Stroke Syndromes Flashcards Preview

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Flashcards in Stroke Syndromes Deck (10):
1

Cortex and Internal Capsule

Contralateral hemiplegia of face, UE and LE
Contralateral hemisensory loss
Homonymous hemianopsia

Impairment of Consciousness

2

MCA syndrome

(Lesion in cortex and internal capsule)
Contralateral hemiplegia of face, UE and LE (although LE more spared)
Contralateral hemisensory loss
Homonymous hemianopsia

3

PCA syndrome

(primary visual cortex, occipital lobe)
Contralateral sensory loss
Involuntary movements (choreoathetosis, tremor, hemiballismus)
Transient contralateral hemiparesis
Homonymous hemianopsia

Visual agnosia, memory deficits, dyslexia, central (thalamic) pain, Weber's syndrome, CN III palsy

4

Internal capsule, lesion in the posterior limb

Lacunar (pure motor) stroke
Contralateral hemiplegia UE, LE

No aphasia
Visual field deficits are rare

5

Midbrain Lesion

Contralateral Hemiplegia

Contralateral CN III palsy

6

Medial Inferior Pontine Syndrome

Ipsilateral:
Cerebella ataxia, nystagmus
Paralysis of conjugate gaze to the side of the lesion
Diploplia

Contralateral:
Hemiparesis UE, LE
Impaired sensation

7

Lateral inferior pontine syndrome

Ipsilateral:
Cerebellar ataxia, nystagmus, vertigo
Facial paralysis
Paralysis of conjugate gaze to the side of the lesion
Deafness, tinnitus
Impaired facial sensation

Contralateral:
Impaired pain and temperature sensation

8

Locked-in syndrome

Tetraplegia
Lower bulbar paralysis (CN V-XIII)
Anarthria
Preserved consciousness
Preserved eye movements and blinking

9

Medial Medullary Syndrome

Ipsilateral:
Paralysis to half of tongue

Contralateral:
Hemiplegia UE/LE
Impaired sensation

10

Lateral Medullary Syndrome (Wallenberg's Syndrome)

Ipsilateral:
Cerebellar ataxia, nystagmus, vertigo
Loss of pain and temperature in the face
Sensory loss UE, trunk, LE

Contralateral:
Loss of pain and temperature of the face

Horner's syndrome
Dysphagia
Impaired speech