3.30 Stroke 3 Flashcards
What are the arterial syndromes?
- ACA
- MCA
- PCA
- vertebrobasilar artery syndrome
arterial syndromes: ACA affects the
frontal lobe (caudate)
What causes the ACA syndrome?
occlusion
What does the pt with an ACA syndrome look like usually?
- contralateral hemiparesis (LE > UE)
- urinary incontinence issues
- APRAXIA
MCA stroke: What does the pt look like?
- contralateral hemiparesis (UE > LE)
- APHASIA
- neglect common
- homonymous hemianopsia
What type of CVA has a high likelihood of aphasia?
left CVA
What happens with a left CVA?
paresis/paralysis on the right
homonymous hemianopsia
one sided vision loss
PCA stroke occurs here
occipital lobe
PCA stroke issues
- vision
- coordination
PCA stroke: vision issues
- diplopia
- total/partial blindness
PCA stroke: coordination issues
- equilibrium coordination (balance)
- nonequilibrium coordination (finger to nose etc.)
What happens with vertebrobasilar artery syndrome?
- lose blood supply to pretty much everything
- blocks both sides of the circle of willis
WHat is the typical presentation of vertebrobasilar artery syndrome?
locked in syndrome
What is locked in syndrome?
- no movement or speech but remains alert and oriented
- shrugging/blinking is all
- usually fully capable of understanding what you’re talking about
Most PT treatment with respect to strokes is for
MCA/ACA
Wernicke’s aphasia
- receptive
- pt can’t comprehend auditory
- speech sounds fine
Broca’s aphasia
- expressive
- can’t get what they want to say out
- get really frustrated, often become nonverbal
What is a huge issue with Broca’s aphasia and treatment?
carryover from one day to the next
global aphasia
- combo of receptive and expressive aphasia to some degree
- most people are not truly globally aphasic
