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NCS > CVA (MedBridge) > Flashcards

CVA (MedBridge) Flashcards

1
Q

MCA superior division of blood supply

A

Supplies cortex above the sylvian fissure

**Includes lateral frontal lobe

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2
Q

MCA inferior division of blood supply

A

Supplies cortex below the sylvian fissure

**Inclues lateral temporal lobe and a variable portion of the parietal lobe

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3
Q

Posterior communicating artery

A

Connects PCA with internal carotid/MCA (posterior to anterior division)

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4
Q

Anterior cerebral artery

A

Comes off of internal carotid and connects bilateral vessels via anterior communicating artery

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5
Q

Anterior choroidal artery blood supply

A

Supplies GP, putamen, thalamus, and posterior limb of internal capsule

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6
Q

L MCA superior infarct deficits

A
  • Contralateral face/arm weakness

- Broca’s aphasia

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7
Q

R MCA superior infarct deficits

A
  • Contralateral face/arm weakness
  • L neglect
  • May be some sensory impairment in contralateral arm/face
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8
Q

L MCA inferior infarct deficits

A
  • Wernicke’s aphasia
  • R visual field deficit
  • Contralateral face/arm sensory impairments
  • Mild contralateral weakness
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9
Q

R MCA inferior infarct deficits

A
  • PROFOUND L hemineglect with R gaze preference
  • L visual field deficits
  • Contralateral face/arm sensory impairments
  • L motor neglect but typically normal strength
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10
Q

Vertebral-basilar CVA

A
  • Brainstem/cranial nerve damage
  • Hemi/tetraplegia
  • Locked in syndrome is common
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11
Q

Anticonvulsant use following CVA

A

Not recommended to be prescribed prophylactically

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12
Q

BP goal for ICH

A

Less then 130/80

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13
Q

BP goal or post-TPA/fibrinolytic therapy

A

Less then 180-185/105

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14
Q

Three impairments that predict walking ability

A
  1. Sitting balance
  2. Strength
  3. Standing balance
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15
Q

SAFE score

A

<5: Recommend TMS assessment
5-7: predicts notable recovery
>8: predicts complete recovery

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16
Q

Early mobilization with CVA

A
  • Short sessions if mobilizing less then 24 hours
  • Poor outcomes with longer bouts of therapy within first 24 hours
  • *Ideally begin within first 24-72 hours post-CVA (better follow-up 3 months)
17
Q

Burkle Lateropulsion Scale

A

5 items that measures contraversive pushing (rolling, sitting with feet off floor, standing, transfers, walking)

18
Q

Clinical Scale for Contraversive Pushing

A
  • Based on symmetry of spontaneous body posture, use of non paretic UE, resistance to correction to vertical
  • Have to score a 1 in all 3 components to be classified as having contraversive pushing
  • Not very sensitive
19
Q

Mirror box therapy protocol

A

Recommend 5 sessions per day, 90 minutes per session, with functional tasks

NCS (19 decks)

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