MCA Stroke Syndrome

Question 1

Primary Motor Cortex and Internal Capsule

Answer 1

contralateral hemiparesis (face and UE)

Question 2

Primary Somatosensory Cortex and Internal Capsule

Answer 2

contralateral hemisensory loss (face and UE)

Question 3

Broca’s Area (in dominant hemisphere)

Answer 3

non-fluent aphasia: hesitant speech with small vocabulary (can understand speech)

Question 4

Wernicke’s Area

Answer 4

fluent aphasia: impaired comprehension of speech and word salad

Question 5

Secondary Somatosensory Cortex

Answer 5

Astereognosis: cant recognize objects by touch
Apraxia: difficulty sequencing motor patterns

Question 6

Secondary Visual Cortex Area of Dorsal Stream

Answer 6

Optic ataxia: impaired depth perception, spatial relations, inability to coordinate movements of contralateral side

Question 7

Parietal Association Cortex

Answer 7

unilateral neglect
anosagnosia: unaware of deficits

Question 8

Premotor Cortex

Answer 8

apraxia: difficulty sequencing motor patterns

Question 9

Frontal Eye Field

Answer 9

impaired voluntary eye movements and preference for gaze to the ipsilateral field

Question 10

Optic Radiations through Parietal + Temporal White Matter

Answer 10

visual field cuts: homonymous hemianopsia or quadrantanopsia

Question 11

Basal Ganglia

Answer 11

hypokinesia signs: slow movements, shuffling gait, rigidity