CVA Clinical Syndromes Flashcards
List various stroke types based on vascular supply
- ACA infarct
- MCA infarct
- superior branch
- inferior branch
- stem
- PCA infarct
- Basilar Artery infarct
- Vertebral artery infarct
- IC artery infarct
- Superior cerebellar artery infarct
- Posterior cerebellar artery infarct
- Anterior inferior cerebellar artery infact
List some clinical syndromes for strokes
- Lacunar infarcts
- Watershed infarcts
- Medial Medullary Syndrome
- Lateral Medullary Syndrome (Wallenberg’s)
- Horner’s syndrome
- Medial Inferior Pontine syndrome
- Lateral Inferior Pontine synrome
- Complete basilar artery syndrome/Locked-in Syndrome
what regions of the brain does the ACA supply (generally)?
- anterior and medial surface of the brain
- from frontal lobe to anterior parietal lobe
- Corpus callosum
List S/S of ACA syndrome
- Contralateral hemiparesis or hemiplegia (LE > UE)
- Contralateral hemisensory loss (LE < UE)
- Apraxia
- Problems w/bimanual tasks
- Sig cognitive deficits
- agitation, memory, emotional liability, motor performance
- Lack of spontaneity, motor inaction, slowness and delay
- Difficulty w/executive function tasks (attention, etc.)
- Transcortical Aphasia
- Contralateral grasp reflex, sucking reflex
- Alien hand syndrome
- Urinary incontience
list some S/S that are more often associated with L ACA syndrome
- R leg weakness and sensory deficits
- grasp reflex
- possible transcortical aphasia
- may see apraxia (less common)
list some S/S that are more often associated with R ACA syndrome
- L leg weakness and sensory deficits
- grasp reflex
- may see L neglect (less common)
what regions of the brain does the MCA supply (generally)?
- superior branch of MCA
- lateral and inferior frontal lobe
- anterior and lateral parietal lobe
- inferior branch of MCA
- lateral temporal lobe
- lateral occipital lobe
List S/S of MCA syndrome
- Contralateral paresis (UE and face > LE)
- Contralateral sensory loss (UE and face > LE)
- Motor speech impairment
- receptive speech impairment
- global aphasia
- perceptual deficits
- apraxia
- visual deficits
- loss of conjugate gaze to opposite side
- pure motor hemiplegia (lacunar stroke)
list S/S specific to L MCA syndrome (superior divison)
- R face, arm weakness
- may see R face, arm sensory deficits
- non-fluent (Broca’s) aphasia
- apraxia
- may see R visual field loss or dysconjugate gaze
list S/S specific to L MCA syndrome (inferior division)
- fluent (Wernicke’s) aphasia
- R visual field loss
- R face and arm sensory deficits
- some mild R face, arm weakness
list S/S of L and R MCA syndrome (deep branch)
pure motor hemiparesis
list S/S of L MCA syndrome (stem)
- R face, arm weakness and sensory deficits
- R visual field loss and dyconjugate gaze
- global aphasia
list S/S of R MCA syndrome (superior division)
- L face, arm weakness
- L hemineglect
- May see L face, arm sensory deficits
- may see L visual field loss or dysconjugate gaze
list S/S of R MCA syndrome (inferior division)
- L face, arm weakness
- profound L hemineglect and other perceptual deficits
- L face, arm sensory deficits
- L visual field loss
list S/S of R MCA syndrome (stem)
- L face, arm weakness
- L face, arm sensory deficits
- L visual field loss, dysconjugate gaze
- L hemineglect and other perceptual deficits