Compromised BS to the Brain (Mixed)

Question 1

Artery Deficit: Contralateral hemiplegia and somatosensory loss in UE and head, aphasia, some loss of executive function and working memory

Answer 1

Middle Cerebral Artery

Question 2

3 Characteristics of Medial Medullary Syndrome

Answer 2

1. Contralateral loss of proprioception (meidal lemniscus)
2. Paresis (UMN in pyramidal tract)
3. Deviation of tongue to side of lesion (CN XII)

Question 3

Artery Deficit: Ipsilateral loss of facial sensation (CN V), ipsilateral Horner’s Syndrome, contralateral hemianesthesia

Answer 3

Anterior Inferior Cerebellar Artery

Question 4

Artery Deficit: contralateral hemiplegia and somatosensory loss mainly in the LE, some loss of motivation and executive cognition

Answer 4

Anterior Cerebral Artery

Question 5

Artery Deficit: Ipsilateral limb/gait ataxia, contralateral loss of pain/temp, ipsilateral Horner’s syndrome

Answer 5

Superior Cerebellar Artery

Question 6

Artery Deficit: Wallenberg’s Syndrome

Answer 6

Posterior Inferior Cerebellar Artery (PICA)

Question 7

Artery Deficit: Weber’s Syndrome, Hemianopsia

Answer 7

Posterior Cerebral Artery

Question 8

Artery Deficit: Medial Medullary Syndrome

Answer 8

Anterior Spinal Artery

Question 9

3 Characteristics of Horner’s Syndrome

Answer 9

1. Ipsilateral pupil constriction
2. Ptosis
3. Sinking in of eyeball

Question 10

5 Characteristics of Wallenberg’s Syndrome

Answer 10

1. Dysphagia and dysarthria (CN XII and X - nucleus ambiguus)
2. Ipsilateral loss of pain/temp of face (CN V)
3. Contralateral loss of pain/temp of body (Spinothalamic tract)
4. Vertigo
5. Ipsilateral Horner’s

Question 11

Artery Deficit: Ipsilateral conscious loss of proprioception, sensory deficits

Answer 11

Posterior Spinal Artery

Question 12

3 Characteristics of Weber’s Syndrome

Answer 12

1. Ipsilateral occulomotor dysfunction (ADD and vertical gaxe, CN III)
2. Pupil dilation
3. Contralateral hemiplegia (descending corticospinal/bulbar tracts)

Question 13

Artery Deficit: nystagmus, dizziness, nausea, blurred vision, LOB/fall

Answer 13

Vertebral artery compromise