Brain Blood Supply and Strokes

Question 1

Medial Striate

Answer 1

Anterior limb and genu of internal capsule
Head of caudate
Medial globus pallidus
Anterior hypothalamus

Question 2

Lateral striate

Answer 2

Internal capsule

Putamen

Question 3

Central branches of posterior cerebral

Answer 3

Thalamus

Third ventricle

Question 4

Anterior cerebral stroke

Answer 4

Contralateral:

-Hemiplegia and anaesthesia in lower limb and perineum

Question 5

Middle cerebral stroke

Answer 5

Contralateral hemiplegia and anaesthesia in upper limb, head and neck
Aphasia

Question 6

Posterior cerebral stroke

Answer 6

Contralateral hemianopia

Question 7

Superior cerebellar, anterior/posterior inferior cerebellar artery strokes

Answer 7

Ipsilateral cerebellar signs

Question 8

What nuclei are affected by a stroke of PICA?

Answer 8

Nucleus ambiguus
Vestibulocochlear nuclei
Trigeminal nucleus
Sympathetics
Spinal lemniscus

Question 9

What are the global symptoms of PICA Syndrome?

Answer 9

Difficulty with swallowing and phonation

Vertigo, nystagmus and tinnitus

Question 10

What are the ipsilateral symptoms of PICA Syndrome?

Answer 10

Pain and temperature loss from face

Horner’s syndrome

Question 11

What are the contralateral symptoms of PICA Syndrome?

Answer 11

Pain and temperature loss from body

Question 12

What structures are affected by medial medullary syndrome?

Answer 12

Corticospinal tracts
Medial lemniscus
Hypoglossal nerve

Question 13

What are the contralateral symptoms of medial medullary syndrome?

Answer 13

Hemiparesis

Loss of fine touch and proprioception

Question 14

What is the ipsilateral symptom of medial medullary syndrome?

Answer 14

Paralysis of tongue