Case Based - Type of Stroke

Question 1

Pt. is showing weakness and sensory loss on contraleisonal side ( UE>LE). Doesn’t show signs of aphasia or apraxia. Has memory issues. Difficulty with auditory and visual processing. What is the Stroke, side, and lobe affected?

Answer 1

RIGHT MCA, inferior temporal lobe

Question 2

Pt. is 3+ on mAs, 3+ DTR. They are showing favor in synergies the RUE and have difficulty forming sentences. They aren’t able to coordinate movements ( apraxia) and can’t see the floor below them ( inferior quadrianopia). They are impulsive ( dom) too
What is the Stroke, side, and lobe affected?

Answer 2

Left MCA, superior division

Question 3

PT. not see the sky above them ( HH, superior quadrianopia) and has weakness in the L extremity. This type of stroke causes this impairment?

Answer 3

R MCA, inferior temporal lobe

Question 4

Which lobe is impaired if there is sensory ataxia ( loss of proprioception) and AL/ ML tracts are knocked out?

Answer 4

parietal lobe
part of superior branch

Question 5

Pt. doesnt understand what is being said.
Has memory issues and cant see the sky ( superior quadrinopia)
what division and what lobe?

Answer 5

Branch: Inferior
Lobe: temporal ( wernickes)

Question 6

Pt. has resting clonus, weakness, and parkonism like movement patterns. Hard time starting a mvmt. What division of mca stroke is this?

Answer 6

Lacunar ( basal ganglia)

Question 7

R MCA - superior division
librarian motor and sensory deficits

Answer 7

LATERAL FRONTAL
1. L sided weakness
2. DOES NOT have aphasia.
3. Cant see the shelves that are below eye level ( inferior quadrinopia)
LATERAL PARIETAL
Bumps into the shelves ( peripersonal) and doesn’t see far away objects(extrapersonal) = visuospatial impairments
SO NOT a good candidate for mirror therapy

Question 8

R MCA - stem division for a librarian deficits

Answer 8

BG :
not able to initiate mvmts / smaller mvmts
3/5 MMT for UE
*** intention tremor once moving the books to closer to shelf ( target)
rigidity

Question 9

R MCA - inferior division for a librarian
what kind of impairments

Answer 9

Inferior temporal lobe -
1. Doesnt remember where she put some books ( memory impacted )
2. cannot see ABOVE eye level ( superior quadrianopia)