CVA syndrome Flashcards
what is a CVA syndrome
a cluster of symptoms used to ID the part of the brain that was impacted during stroke
pusher syndrome which hemp
either
more common in the right then the left
pusher syndrome what kind of disorder
lateropulsion disorder
what does we see with pusher syndrome
pushing toward the affect side - pushing from the sound limb
lateral body tilt
pusher syndrome and corrections
resistant - do no push them
is pusher syndrome prevalent
no 8-12%
what area of the brain causes pusher syndrome
posterolateral thalamus
what does pusher syndrome often correlate with R hemp
spatial neglect
what does pusher syndrome often correlate with L hemp
aphasia
do we implament medical management for pusher syndrome
no
the brain takes care of this itself
how does pusher syndrome impact out outcomes
takes longer to recover from the stroke
pusher syndrome and PT treatment
used a unchanging vertical object and tell the pt to mimic it
mirrors and other people do not work well
used a wall to let them lean against if possible
take away opportunities for pushing
pushing and differnt position
this goes away through positions
if someone is pushing while they are in bed – they will push in sitting and standing
Supine goes away – still pushing while sitting and standing
with the increase in the difficult of the positions the pushing will get worse
for pusher syndrome which way do we transfer
the involved side
we are already going that direction
where is wernickes area
posterior temporal lobe of the dominant hemp
wernickes aphasia
impaired comprehension
wernickes and PT strategies
simple commands
written?
broca what part of the brain
inferior frontal lobe of the dominant hemp
what is brocas aphasia
intact comprehension
intact singing
brocas aphasia PT strategies
give a lot more time then you think to get the word out
ask questions with simple answers
singing sometimes works
what is cortical blindness
loss of vision without any opthalomgical cause
loss of vision 2ndary to damage to visual pathway posterior to lateral geniclate nuclei (pathway after this)
where is the LGN located
the thalamus
what does cortical blindness include
homo hemianopsia
what are the steps in the visual pathway following the LGN
optic radiations
visual cortex
what kind of stroke do we often see cortical blindness
PCA stroke
her - posterior circulation stroke
what should PT be aware of for cortical blindness PT
fall risk
what is anton syndrome
visual anosognosia
what is visual anosognosia
denial of vision loss
they cannot see but they think they can
complete lack of insite into deficits
what is another name for lateral medullary syndrome
wallenburg syndrome
what are the symptoms of wallenburg syndrome
nausea, vertigo
balance issues with gait instability
voice hoarseness
difficulty swallowing
what kind of stroke do we see wallenburg syndrome/lateral medullary syndrome
PICA stroke
what CN leads to hoarseness
glossopharyngeal nerve and vagus nerve.
IX and X
what PT interventions for wallenburg syndrome
dynamic gait and balance training
task oriented
what is the corticospinal tract for
the major neuronal pathway providing voluntary motor function
descending
what is not seen with wallenburg syndrome
weakness
the CST is not impacted
is the HIT test postive with central or peri issues
peri issues
central nys
does not change with fixation
changes direction
downbeating, gaze evoked
peri nsy
decreases with fixation
does not change direction
what is locked in syndrome
the pt is awake and conscious
they have no way to produce speech, facial movement, limb movements
looks like coma
what is the only sign of conscious with locked in pt
eye movements
is locked in common
very rare
locked in syndrome due to what brain issue
ventral pontine lesion
what PT intervention can we do with those with Locked in syndrome
acute positioning and seated prescription
head and neck control
caregiver training
increase upright tolerance and postural control
use alternative communication boards
