Different Stroke Syndromes Flashcards
Thalamic pain syndrome - occlusion of…
Central territory of PCA
Thalamic pain syndrome - s/sx…
Involuntary movements
Contralateral hemiplegia
Paresis of vertical eye movements
Thalamic pain syndrome - hallmark sign…
PAIN with everything
M medullary syndrome (“Dejerine syndrome”) - occlusion of…
Vertebral a., medullary branch
M medullary syndrome (“Dejerine syndrome”) - s/sx…
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
Lateral medullary syndrome (“Wallenburg’s syndrome”) - occlusion of…
PICA or vertebral a.
Lateral medullary syndrome (“Wallenburg’s syndrome”) - s/sx…
Ipsilateral: Decreased pain/temp sensation to face Cerebellar ataxia Vertigo/nausea Nystagmus Dysphasia
Contralateral:
Impaired pain and thermal sense over 50% of body
Complete basilar a. Syndrome - occlusion of…
Basilar a.
Complete basilar a. Syndrome - aka…
“Locked-in syndrome”
Complete basilar a. Syndrome - s/sx…
Hemiparesis to quadriplegia
B CN palsy
Consciousness and sensation –> SPARED/INTACT
Inability of Pt. to move or speak (but remains A/O)
Lateral I pontine syndrome - occlusion of…
AICA
Lateral I pontine syndrome - s/sx…
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
Contralateral weakness and sensory loss in face, arm > leg
MCA
Aphasia
MCA
Perceptual problems
MCA
Homonymous hemianopsia
MCA
Conjugate gaze impairment
MCA
Ataxia of contralateral limb
MCA
Unilateral contralateral weakness and sensory loss
ACA
Mental impairment
ACA
Bilateral F lobe involvement (“akinetic mutism”)
ACA
Indifferent movement initiation problems, NOT speaking
ACA
Urinary incontinence
ACA
Homonymous hemianopsia
PCA
Difficulty naming familiar people on sight
PCA
Dyslexia but able to write; difficulty with color discrimination
PCA
Difficulty with memory
PCA
Involuntary movements (chorea)
PCA
Thalamic syndrome
PCA
CN III palsy: ptosis; impaired pupillary light response
PCA
Weakness in all extremities and CN Innervations
Basilar a.
Diplopia, loss of conjugate and vertical gaze, nystagmus
Basilar a.
Blindness, impaired vision or visual field deficits
Basilar a.
Cerebellar ataxia
Basilar a.
Coma
Basilar a.
Thalamic pain syndrome
Basilar a.
CN IX and X: dysphagia, ipsilateral paralysis of vocal cords, hoarseness; loss of pharyngeal reflex; P tongue taste loss
PICA (medulla)
Vestibular nuclei: vertigo, nystagmus
PICA (medulla)
Trigeminal n.: facial sensory loss
PICA (medulla)
Limb ataxia
PICA (medulla)
CN VII: ipsilateral facial weakness
AICA (pons)
Solitary nucleus (CN IX) and cochlear nuclei: P tongue loss of taste and deafness, ringing in ear, nystagmus
AICA (pons)
Conjugate gaze - impairment to pontine center for lateral gaze
AICA (pons)
Ataxia
AICA (pons)
