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Neuromuscular I - CVA > Different Stroke Syndromes > Flashcards

Different Stroke Syndromes Flashcards

1
Q

Thalamic pain syndrome - occlusion of…

A

Central territory of PCA

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2
Q

Thalamic pain syndrome - s/sx…

A

Involuntary movements
Contralateral hemiplegia
Paresis of vertical eye movements

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3
Q

Thalamic pain syndrome - hallmark sign…

A

PAIN with everything

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4
Q

M medullary syndrome (“Dejerine syndrome”) - occlusion of…

A

Vertebral a., medullary branch

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5
Q

M medullary syndrome (“Dejerine syndrome”) - s/sx…

A

Ipsilateral impairments
Paralysis w/ atrophy of 1/2 of tongue w/ deviation to PARALYZED side

Contralateral impairments:
Paralysis of UE and LE
Impaired tactile and proprioceptive sense

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6
Q

Lateral medullary syndrome (“Wallenburg’s syndrome”) - occlusion of…

A

PICA or vertebral a.

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7
Q

Lateral medullary syndrome (“Wallenburg’s syndrome”) - s/sx…

A 
Ipsilateral:
Decreased pain/temp sensation to face
Cerebellar ataxia
Vertigo/nausea
Nystagmus
Dysphasia

Contralateral:
Impaired pain and thermal sense over 50% of body

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8
Q

Complete basilar a. Syndrome - occlusion of…

A

Basilar a.

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9
Q

Complete basilar a. Syndrome - aka…

A

“Locked-in syndrome”

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10
Q

Complete basilar a. Syndrome - s/sx…

A

Hemiparesis to quadriplegia
B CN palsy
Consciousness and sensation –> SPARED/INTACT
Inability of Pt. to move or speak (but remains A/O)

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11
Q

Lateral I pontine syndrome - occlusion of…

A

AICA

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12
Q

Lateral I pontine syndrome - s/sx…

A 
Ipsilateral:
Horizontal and vertical nystagmus, vertigo, nausea, and vomiting
Facial paralysis
Deafness/tinnitus
Ataxia
Impaired sensation over face

Contralateral:
Impaired pain and thermal sense over half of body

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13
Q

Contralateral weakness and sensory loss in face, arm > leg

A

MCA

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14
Q

Aphasia

A

MCA

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15
Q

Perceptual problems

A

MCA

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16
Q

Homonymous hemianopsia

A

MCA

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17
Q

Conjugate gaze impairment

A

MCA

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18
Q

Ataxia of contralateral limb

A

MCA

19
Q

Unilateral contralateral weakness and sensory loss

A

ACA

20
Q

Mental impairment

A

ACA

21
Q

Bilateral F lobe involvement (“akinetic mutism”)

A

ACA

22
Q

Indifferent movement initiation problems, NOT speaking

A

ACA

23
Q

Urinary incontinence

A

ACA

24
Q

Homonymous hemianopsia

A

PCA

25
Q

Difficulty naming familiar people on sight

A

PCA

26
Q

Dyslexia but able to write; difficulty with color discrimination

A

PCA

27
Q

Difficulty with memory

A

PCA

28
Q

Involuntary movements (chorea)

A

PCA

29
Q

Thalamic syndrome

A

PCA

30
Q

CN III palsy: ptosis; impaired pupillary light response

A

PCA

31
Q

Weakness in all extremities and CN Innervations

A

Basilar a.

32
Q

Diplopia, loss of conjugate and vertical gaze, nystagmus

A

Basilar a.

33
Q

Blindness, impaired vision or visual field deficits

A

Basilar a.

34
Q

Cerebellar ataxia

A

Basilar a.

35
Q

Coma

A

Basilar a.

36
Q

Thalamic pain syndrome

A

Basilar a.

37
Q

CN IX and X: dysphagia, ipsilateral paralysis of vocal cords, hoarseness; loss of pharyngeal reflex; P tongue taste loss

A

PICA (medulla)

38
Q

Vestibular nuclei: vertigo, nystagmus

A

PICA (medulla)

39
Q

Trigeminal n.: facial sensory loss

A

PICA (medulla)

40
Q

Limb ataxia

A

PICA (medulla)

41
Q

CN VII: ipsilateral facial weakness

A

AICA (pons)

42
Q

Solitary nucleus (CN IX) and cochlear nuclei: P tongue loss of taste and deafness, ringing in ear, nystagmus

A

AICA (pons)

43
Q

Conjugate gaze - impairment to pontine center for lateral gaze

A

AICA (pons)

44
Q

Ataxia

A

AICA (pons)

Neuromuscular I - CVA (5 decks)

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