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