CVA Flashcards
What characteristics are associated with an MCA syndrome?
**LE more spared**
- Contralateral hemiplegia: face, UE, LE
- Contralateral hemisensory loss
- Impairment of consciousness
- Homonymous hemianopsia
Others (not always present)
- Motor speech involvement - nonfluent aphasia (dominant hemisphere)
- Perceptual deficit (non-dominant heimsphere)
- Loss of conjugate gaze to the opposite side
- Sensory ataxia
What characteristics are associated with ACA syndrome?
**UE more spared**
- Contralateral hemiplegia: face, UE, LE
- Contralateral hemisensory loss
- Impairment of consciousness
- Homonymous hemianopsia
Others (not always present)
- Apraxia
- Akinetic Mutism
What characteristics are associated with PCA syndrome?
**Contralateral Sensory Loss**
Others (not always present)
- Visual Agnosia
- Memory Defect
- Dyslexia
What is Visual Agnosia?
A person can see but can not interpret visual cues.
What characteristics are associated with a Lacunar stroke?
- Pure motor
- Contralateral hemiplegia
- No aphasia
- Visual field deficit rare
What characteristics are associated with a midbrain lesion?
Contralateral hemiplegia
What characteristics are associated with Locked-in Syndrome?
- Tetraplegia
- Lower bulbar paralysis (CN V-XII)
- Mutism (Anarthria)
- Preserved consciousness
- Preserved vertical eye movements and blinking
What characteristics are associated with Medial Medullary Syndrome?
Ipsilateral to Lesion:
- Paralysis of half of tongue
Contralateral to Lesion:
- Hemiplegia UE & LE
- Impaired Sensation
What characteristics are associated with Lateral Medullary Syndrome?
Ipsilateral to Lesion:
- Paralysis of half of tongue
Contralateral to Lesion:
- Hemiplegia UE & LE
- Impaired Sensation
What are the characteristics of a CVA in the LEFT hemisphere?
- Weakness, paralysis of right side
- Increased frustration
- Decreased processing
- Possible aphasia (expressive, receptive, global)
- Possible dysphagia
- Possible motor apraxia (ideomotor or ideational)
- Decreased discrimination between left and right
- Right hemianopsia
What are the characteristics of a CVA in the RIGHT hemisphere?
- Weakness, paralysis of the left side
- Decreased attention span
- Left hemianopsia
- Decreased awareness and judge
- Memory deficits
- Left inattention
- Decreased abstract reasoning
- Emotional liability
- Impulsive behaviors
- Decreased spatial orientation
What are the characteristics of a CVA in the brainstem?
- Unstable vital signs
- Decreased consciousness
- Decreased ability to swallow
- Weakness on both sides of the body
- Paralysis on both sides of the body
What are the characteristics of a CVA in the cerebellum?
- Decreased balance
- Ataxia
- Decreased coordination
- Decreased ability for postural adjustment
- Nystagmus
