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Neuromus 2 > CVA syndrome > Flashcards

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
Q

what kind of stroke do we often see cortical blindness

A

PCA stroke

her - posterior circulation stroke

26
Q

what should PT be aware of for cortical blindness PT

A

fall risk

27
Q

what is anton syndrome

A

visual anosognosia

28
Q

what is visual anosognosia

A

denial of vision loss

they cannot see but they think they can

complete lack of insite into deficits

29
Q

what is another name for lateral medullary syndrome

A

wallenburg syndrome

30
Q

what are the symptoms of wallenburg syndrome

A

nausea, vertigo

balance issues with gait instability

voice hoarseness

difficulty swallowing

31
Q

what kind of stroke do we see wallenburg syndrome/lateral medullary syndrome

A

PICA stroke

32
Q

what CN leads to hoarseness

A

glossopharyngeal nerve and vagus nerve.

IX and X

33
Q

what PT interventions for wallenburg syndrome

A

dynamic gait and balance training

task oriented

34
Q

what is the corticospinal tract for

A

the major neuronal pathway providing voluntary motor function

descending

35
Q

what is not seen with wallenburg syndrome

A

weakness

the CST is not impacted

36
Q

is the HIT test postive with central or peri issues

A

peri issues

37
Q

central nys

A

does not change with fixation

changes direction

downbeating, gaze evoked

38
Q

peri nsy

A

decreases with fixation

does not change direction

39
Q

what is locked in syndrome

A

the pt is awake and conscious

they have no way to produce speech, facial movement, limb movements

looks like coma

40
Q

what is the only sign of conscious with locked in pt

A

eye movements

41
Q

is locked in common

A

very rare

42
Q

locked in syndrome due to what brain issue

A

ventral pontine lesion

43
Q

what PT intervention can we do with those with Locked in syndrome

A

acute positioning and seated prescription

head and neck control

caregiver training

increase upright tolerance and postural control

use alternative communication boards

Neuromus 2 (17 decks)

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