Neuro Flashcards
A patient presents with contralateral hemiparesis and sensory loss, lower extremity > upper.
Where is the likely site of lesion within the brain blood supply?
Anterior cerebral artery
A patient presents with contralateral hemiparesis and sensory loss, upper extremity > lower extremity. Contralateral homonymous hemianopia and aphasia.
Where is the likely site of lesion within the brain blood supply?
Middle cerebral artery.
A patient presents with contralateral homonymous hemianopia with macular sparing and visual agnosia.
Where is the likely site of lesion within the brain blood supply?
Posterior cerebral artery
A patient presents with ipsilateral CNIII palsy and contralateral weakness of upper and lower extremities.
Where is the likely site of lesion within the brain blood supply?
Branches of posterior cerebral artery that supply the midbrain (Webers syndrome)
A patient presents with ipsilateral facial pain and temperature loss and contralateral limb/ torso pain and temperature loss. They also experience ataxia and nystagmus.
Where is the likely site of lesion within the brain blood supply?
Posterior inferior cerebellar artery (lateral medullary syndrome, Wallenberg syndrome)
A patient presents with transient loss of vision in one or both eyes (amaurosis fugax).
Where is the likely site of lesion within the brain blood supply?
Anterior inferior cerebellar artery (lateral pontine syndrome)
A patient presents with complete paralysis of all voluntary muscles except for the ones that control the movements of the eyes (locked in syndrome).
Where is the likely site of lesion within the brain blood supply?
Basillar artery
What is the normal post stroke treatment regime?
Aspirin 300mg/ 2wks, 75mg Clopidogrel lifelong
What should be used in patients post stroke if clopidogrel is not tolerated?
Aspirin + modified release dipyridamole
