CVA

Question 1

Most prevalent CVA location?

Answer 1

Middle Cerebral

Question 2

What hemisphere of the brain is damaged with left homonymous hemianopsia?

Answer 2

Bilateral inability of visual input from left ocular hemispheres from a Rt sided CVA.

Question 3

Left MCA syndrome is associated with?

Answer 3

aphasia, right hemiplegia with greater face/UE involvement. (Remember homunculus)

Question 4

Left stem of MCA CVA is associated with?

Answer 4

Global aphasia

Question 5

Infarct of the right hemisphere is associated with?

Answer 5

Perceptual deficits

Question 6

ACA syndrome

Answer 6

1) LE involvement is greater than UE/face

2) confusion, Amnesia, Apathy, short Attention span

Question 7

Infarct at which artery typically leads to urinary incontinence?

Answer 7

ACA

Question 8

PCA syndrome

Answer 8

1. Homonymous hemianopsia, visual agnosia, prosopagnosia
2. Aphasia and thalamic pain syndrome
3. If superior peduncle of midbrain is involved, hemipelgia

Question 9

Highest mortality rate from edema

Answer 9

Vertebral-basilar

Question 10

Quadriparesis is associated with

Answer 10

Vertebral-basilar

Question 11

Define bulbar palsy and which artery is occluded for this to occur?

Answer 11

LMN lesion at medulla of CN 5-12. associated with Vertebral-basilar

Question 12

“Locked-in” is associated with? Describe this characteristic.

Answer 12

Vertebral-basilar infarct. Pt begins dysarthric and dysphonic and progresses to anarthria. Pt eventually has to communicate through eye-blinking (CN 3)

Question 13

Anterior inferior cerebellar

Answer 13

unilateral horner’s syndrome, unilateral deafness, contralateral loss of pain & temperature

Question 14

Superior cerebellar artery

Answer 14

severe ataxia, dysarthria (loss of articulation control), dysmetria, contralateral loss of pain/temp

Question 15

Posterior inferior cerebellar

Answer 15

Wallenberg’s syndrome (vertigo, nausea, hoarseness, dysphagia, ptosis, ipsilateral face/contralateral torso/limbs.

Question 16

Facilitation techniques for hypotonicity

Answer 16

quick stretch, tapping, high freq vib, light touch, quick icing, fasting spinning/rolling, approximation for contraction

Question 17

Inhibition techniques for hypertonicity

Answer 17

static stretch, inhibitory casting, slow rocking/rolling, low frequency vib, limb movements c rot, slow stroking, prolonged icing, & facilitation techniques to opposite mm of spastic mm.

Question 18

prosopagnosia

Answer 18

Facial recognition