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Flashcards in Strokes Deck (13):
1

MCA // ruptured MCA saccular aneurysm

CL
UE paralysis + sensory loss
Face too
Aphasia if involves dominant sphere
Hemi-neglect if non-dominant (usually R)

2

ACA

CL
LE paralysis + sensory loss

3

Lenticulo-striate artery

Aka lacunar infarct (HTN) - affects striatum + int capsule
CL
Paralysis and/or sensory loss - face and BODY

4

Anterior spinal art: lateral corticospinal tract

CL
UE + LE paralysis

5

Ant spinal art: medial lemniscus

CL - decreased proprioception

6

Ant spinal art: caudal medulla (hypoglossal nerve)

Tongue dev ipsi

7

PICA

Lateral medulla affected
Ipsi face, CL body - lose pain/temp
Nucleus ambiguus unique to this stroke - *hoarsness + dysphagia*
Vomiting, vertigo, nystamus
Decreased gag reflex
Ispi Horner

8

AICA - lateral pons

FACIAL PARALYSIS (facial droop specific)
Face - ipsi loss pain/temp
Body - CL loss pain/temp
Decrease tears, saliva
Decrease taste ant 2/3 tongue

9

AICA - middle/inf cerebellar peduncles

Inputs into cerebellum
Ataxia, lack coordination

10

Basilar art

Quadriplegia w/ consciousness
"Locked in syndrome"

11

Post cerebral art

CL hemianopia w/ macular sparing
B/c affects occipital cortex (visual)
"Can't recognize faces"

12

Ruptured ant communicating art saccular aneurysm

Bitemporal hemianopia b/c compresing optic chiasm
ACA distribution if goes ischemic

13

Ruptured post communicating art saccular aneurysm

Ispi CN 3 palsy
Blown pupil
Down+out eye (ptosis)