Exam 2- Stroke Symptoms Flashcards
Symptoms of a Stroke of the Middle Cerebral Artery
Contralateral spastic paralysis (NO Babinski), contralateral loss of fine touch, vibration, and conscious proprioception and difficulty in the precise localization of pain, and lower facial paralysis
Eye and possible tongue deviation, Global Aphasia in the Dominant Hemisphere and Neglect in the Non-Dominant Hemisphere
Symptoms of a Stroke of the Internal Carotid Artery
Early- sudden transient loss (amaurosis fugax)
Contralateral spastic paralysis with a Babinski, Contralateral loss of fine touch, vibration and conscious proprioception of the face and body, ipsilateral visual loss, Global Aphasia
Symptoms of Strokes of the Anterior Cerebral Artery
Contralateral spastic paralysis with a Babinski, contralateral loss of fine touch, vibration and conscious proprioception and the ability to localize pain sensation.
Abulia, Akinetic Mutism and Urinary Incontinence
Symptoms of Strokes of the Posterior Cerebral Artery
Contralateral Homonymous Hemianopia (w/ macular sparing- Super Tunnel Vision) and memory deficits
Symptoms of Strokes of the Lateral Striate Branches of the Middle Cerebral Artery
Contralateral spastic paralysis with a Babinski and loss of fine touch, conscious proprioception, vibration, the ability to localize pain precisely, and lower facial paralysis
*No Cortical Signs
Symptoms of a Stroke to the VPL of the Thalamus
No sensation contralaterally followed by a return of severe pain (Thalamic Syndrome)
Symptoms of the 3 types of Strokes which can occur in the Midbrain
1) Weber’s Syndrome- PCA supplying the basal area of the Midbrain
Contralateral Spastic Paralysis with a Babinski below neck and
paralysis of the lower facial muscles and ipsilateral Oculomotor
Ophthalmoplegia (Lateral Strabismus, Ptosis and Dilation)
2) Claude’s Syndroms- Basilar or PCA supplying the midbrain
tegmentum; contralateral Rubral Tremor of upper limb and ipsilateral
oculomotor ophthalmoplegia
3) Benedikt’s Syndroms- Penetrating branches of the Basilar involving
tegmental and basilar areas; combination of 1 and 2 symptoms
Symptoms of a Stroke at the Rostral Basal Pons
Contralateral spastic paralysis with a Babinski (below the neck) and of the lower face.
Symptoms of a Stroke at the Rostral Tegmentum of the Pons
Ipsilateral loss of sensation to the face and contralateral loss of fine touch, vibration, proprioception and pain sensation below the neck
Symptoms of a Stroke of the Caudal Basal Pons
Contralateral spastic paralysis with a Babinski, ipsilateral facial paralysis, and medial strabismus
Symptoms of a Stroke of the Caudal Tegmentum of the Pons
Ipsilateral facial paralysis and ipsilateral medial strabismus
Symptoms of Locked in Syndrome
Bilateral syndrome of the basal pons which follows a stroke in the basilar artery. Person appears comatose but is not because the Ascending Reticular Activating System is still intact.
Symptoms of Strokes involving the upper part of the Basilar Artery where it divides into two PCAs
Significant memory impairment because of damage to the hippocampus
Symptoms of the two types of Strokes that involve the Medulla
1) Wallenberg’s Syndrome (Lateral Medullary Syndrome- branches of the PICA supplying the dorsolateral area of the medulla)
Contralateral loss of pain and temperature in the body below the
neck; Ipsilateral loss of pain and temperature in the face, vertigo,
nystagmus, nausea, vomiting, and an Horner’s Syndrome (Miosis,
Ptosis, and Anhydrosis), weak or abscent gag reflex, dysponia,
dyspnea, and dysphagia (Nucleus Ambiguus)
2) Medial Medullary Syndrome (Strokes involving medial branches of the vertebral artery that supply the ventral and ventromedial areas of the medulla- Medial Lemniscus, Pyramid, CN XII)
Contralateral loss of fine touch, vibration and conscious
proprioception and spastic paralysis with a Babinski and deviation of
the tongue to the side of the lesion (Ipsilateral fasiculation and
atrophy)
