CVA syndrome Flashcards

1
Q

what is a CVA syndrome

A

a cluster of symptoms used to ID the part of the brain that was impacted during stroke

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2
Q

pusher syndrome which hemp

A

either

more common in the right then the left

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3
Q

pusher syndrome what kind of disorder

A

lateropulsion disorder

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4
Q

what does we see with pusher syndrome

A

pushing toward the affect side - pushing from the sound limb

lateral body tilt

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5
Q

pusher syndrome and corrections

A

resistant - do no push them

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6
Q

is pusher syndrome prevalent

A

no 8-12%

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7
Q

what area of the brain causes pusher syndrome

A

posterolateral thalamus

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8
Q

what does pusher syndrome often correlate with R hemp

A

spatial neglect

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9
Q

what does pusher syndrome often correlate with L hemp

A

aphasia

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10
Q

do we implament medical management for pusher syndrome

A

no

the brain takes care of this itself

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11
Q

how does pusher syndrome impact out outcomes

A

takes longer to recover from the stroke

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12
Q

pusher syndrome and PT treatment

A

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

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13
Q

pushing and differnt position

A

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

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14
Q

for pusher syndrome which way do we transfer

A

the involved side

we are already going that direction

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15
Q

where is wernickes area

A

posterior temporal lobe of the dominant hemp

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16
Q

wernickes aphasia

A

impaired comprehension

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17
Q

wernickes and PT strategies

A

simple commands

written?

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18
Q

broca what part of the brain

A

inferior frontal lobe of the dominant hemp

19
Q

what is brocas aphasia

A

intact comprehension

intact singing

20
Q

brocas aphasia PT strategies

A

give a lot more time then you think to get the word out

ask questions with simple answers

singing sometimes works

21
Q

what is cortical blindness

A

loss of vision without any opthalomgical cause

loss of vision 2ndary to damage to visual pathway posterior to lateral geniclate nuclei (pathway after this)

22
Q

where is the LGN located

A

the thalamus

23
Q

what does cortical blindness include

A

homo hemianopsia

24
Q

what are the steps in the visual pathway following the LGN

A

optic radiations

visual cortex

25
what kind of stroke do we often see cortical blindness
PCA stroke her - posterior circulation stroke
26
what should PT be aware of for cortical blindness PT
fall risk
27
what is anton syndrome
visual anosognosia
28
what is visual anosognosia
denial of vision loss they cannot see but they think they can complete lack of insite into deficits
29
what is another name for lateral medullary syndrome
wallenburg syndrome
30
what are the symptoms of wallenburg syndrome
nausea, vertigo balance issues with gait instability voice hoarseness difficulty swallowing
31
what kind of stroke do we see wallenburg syndrome/lateral medullary syndrome
PICA stroke
32
what CN leads to hoarseness
glossopharyngeal nerve and vagus nerve. IX and X
33
what PT interventions for wallenburg syndrome
dynamic gait and balance training task oriented
34
what is the corticospinal tract for
the major neuronal pathway providing voluntary motor function descending
35
what is not seen with wallenburg syndrome
weakness the CST is not impacted
36
is the HIT test postive with central or peri issues
peri issues
37
central nys
does not change with fixation changes direction downbeating, gaze evoked
38
peri nsy
decreases with fixation does not change direction
39
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
40
what is the only sign of conscious with locked in pt
eye movements
41
is locked in common
very rare
42
locked in syndrome due to what brain issue
ventral pontine lesion
43
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