Overview of Hemiplegia Flashcards by Victoria Caridi

Q

causes of hemiplegia

A

vascular

space occupying lesions

infections

trauma

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Q

vascular –> causes

A

thrombus

embolus

hemorrhage

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Q

space occupying lesions –> causes

A

cysts

abscess

benign tumors

malignant tumors

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Q

infections –> causes

A

meningitis

encephalitis

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Q

stroke recognition

A

FAST

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Q

FAST

A

face

arms

speech

time

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Q

face –> FAST

A

is it drooping

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Q

arms –> FAST

A

can you raise both

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Q

speech –> FAST

A

is it slurred or jumbled

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Q

time –> FAST

A

to call 911 right away

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Q

initial signs/sxs

A

head ache

vision change

funny feeling in one half of body

weakness of body half

numbness of body half

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Q

funny feeling in one body half–> sxs

A

UE

LE

face

trunk

or any combo

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Q

weakness of body half –> sxs

A

UE

LE

face

trunk

or any combo

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Q

numbness of body half –> sxs

A

UE

LE

face

trunk

or any combo

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Q

if any sxs are suspected

A

get to ED ASAP

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Q

initial tx –> if thrombus or embolus

A

TPA w/in 1st 1.5 hours may significantly improve outcomes

Q

initial tx –> hemorrhage

A

may do craniotomy to relieve pressure

but TPA is contraindicated

Q

initial tx –> infection

A

antibiotics

Q

initial tx –> space occupying lesion

A

craniotomy to remove

Q

impairments

A

motor

tone alterations

abnormal reflexes

sensory

vision

neglect

communication

Q

what stroke is the most common –> motor

A

MCA stroke

UE is usually more affected than LE

Q

where does weakness often occur –> motor

A

mild weakness on ipsilateral side

less involved and not non-involved

only 75-90% of corticospinal tract fibers cross over

Q

what may pts have –> motor

A

pathological synergy patterns

Q

always start –> tone alterations

A

flaccid

neurological shock

Q

progression –> tone alterations

A

flaccid –> hypotonic –> spastic

Q

tone alterations may

A

return to normal

Q

abnormal reflexes

A

dominated by ATNR, labyrinthine reflexes

Q

sensory

A

often impaired either or both

cutaneous

proprioception

Q

vision

A

homonymous hemianopsia

Q

secondary impairments

A

pain

contracture

pneumonia

decubiti

Q

right CVA has

A

left side weakness

left side sensory loss

visual-perceptual problems

left side unilateral neglect

agnosia

visuospatial impairments

Q

right CVA –> difficulties

A

sustaining movement

problem solving/synthesizing

visual cues

Q

right CVAs are

A

often unaware of impairments

inability to self correct

poor judgement

increase safety risk

Q

left CVA–> impairments

A

right sided weakness

right sided sensory loss

speech/language impairment

Q

speech/language impairment –> left CVA

A

expressive (brocas) aphasia

receptive (wernicks) aphasia

global aphasia

Q

left CVAs have difficulties

A

planning/sequencing

verbal cues

Q

left CVAs are

A

apraxia more common

disorganized problem solving

often very aware of impairments

anxious about poor performance

Q

right CVA

A

not cautious

Q

left CVA

A

overly cautious