Neuropsychological Rehab of Stroke Flashcards
What type of stroke may result in right sided neglect, right sided hemiplegia, or impaired verbal memory?
Left middle cerebral artery stroke
What type of stroke may lead to impaired judgement, left sided neglect, and visual memory difficulties?
Right middle cerebral artery stroke
A middle cerebral artery stroke on which hemisphere would lead to issues with insight?
Right
In which type of stroke might yoh see spatial-perceptual deficits, short attention span and social cognition changes?
Right middle cerebral artery stroke
A stroke in which artery might present with aphasia, slow performamce, and left-right confusion?
The left middle cerebral artery
What signs might indicate an anterior cerebral artery stroke?
Impaired judgement, personality change, contralateral weakness of lower extremities, apraxia
A stroke in which artery might lead to personality change, impaired judgement, and contralateral weakness of the lower limbs?
Anterior cerebral artery
Which type of stroke is most likely to result in aphasia and agnosia?
A middle cerebral artery stroke in the dominant hemisphere
What signs might indicate a middle cerebral artery stroke?
Upper extremities deficits, contralateral hemiparesis with sensory loss, and ipsilateral hemianopsia
A stroke in which artery might present with upper extremity deficits, contralateral hemiparesis with sensory loss, and ipsilateral hemianopsia
The middle cerebral artery
A stroke in which artery may lead to changes in vision, agnosia, memory deficits and altered mental status?
Posterior cerebral artery
What signs might indicate a vertebrobasilar artery stroke?
▪️ Vestibular effects
▪️ Visual effects
▪️ Motor defects
▪️ Loss of pain and temperatures on ipsilateral face and contralateral body
What type of stroke is typically associated with Wallenberg syndrome and Horner syndrome?
Posterior Inferior Cerebellar Artery (PICA)
What symptoms might be apparent with anterior inferior cerebellar artery stroke (AICA)?
▪️ Vertigo
▪️ Nystagmus
▪️ Nausea and vomiting
▪️ Ataxia of an extremity
▪️ Gaze palsy and ipsilateral face weakness
▪️ Deafness
▪️ Tinnitus
What are the main subtypes of lacunar infarcts?
▪️ Sensory stroke
▪️ Pure motor stroke
▪️ Combined motor and sensory resulting in ataxic hemiparesis
What neuropsychological interventions can be considered for impaired attention and speed of information processing?
▪️ Compensatory strategies (e.g., time pressure management)
▪️ Environmental modification (e.g., reduce distraction, organised work area)
What neuropsychological interventions can be offered for executive function deficits?
▪️ Compensatory techniques and meta-cognitive strategies (e.g., mental checklist)
▪️ Goal setting and feedback on functional tasks
▪️ External strategies (e.g., written lists, reminders)
What is neurological assessment used for in cases of memory impairment?
To understand where in the memory process is impaired
▪️ Attention
▪️ Encoding
▪️ Storage
▪️ Retrieval
What neuropsychological interventions can be used for memory impairments post stroke?
▪️ Training and use of strategies (e.g., errorless learning, spaced retrieval)
▪️ External aids (e.g., reminders, checklists)
What is ideomotor apraxia?
Inability to pantomime object use or to imitate a gesture
What is ideational apraxia?
The loss of the concept of action
I.e., inability to plan movements related to interaction with an object due to loss of perception of its purpose
How can we assess for apraxia?
Test of Upper Limb Apraxia (TULIA)
What neuropsychological strategy can be used for apraxia?
Compensatory techniques
What neuropsychological techniques can be used for the rehabilitation of neglect following stroke?
▪️ Scanning training (e.g., lighthouse strategy, Eye Search and Readright online therapy)
▪️ Alerting techniques (e.g., arm band)
▪️ Prism lenses
