Stroke

Question 1

Blood Clot or Thrombus in cerebral arteries or branches

Answer 1

Cerebral Thrombosis

Question 2

Traveling bits of matter that produce occlusion and infarction in cerebral arteries

Answer 2

Cerebral embolism

Question 3

3 types of strokes

Answer 3

Cerebral thrombosis
Cerebral Embolism
Cerebral Hemorrhage

Question 4

Abnormal bleeding due to a rupture of a blood vessel

Answer 4

Cerebral Hemorrhage

Question 5

Cerebral Anoxia

Answer 5

Lack of O2 to the brain

Question 6

Irreversible anoxic damage to the brain occurs after:

Answer 6

4-6 minutes

Question 7

Cerebral infarction causes what kind of cellular damage?

Answer 7

Irreversible

Question 8

ICA occlusions typically affect which two arteries?

Answer 8

MCA and ACA

Question 9

ICA occlusions commonly produce signs and symptoms of what region?

Answer 9

MCA involvement

Question 10

ACA supplies what portion of the medial cerebral cortex?

Answer 10

Anterior 2/3

Question 11

ACA syndrome occclusions where will produce minimal deficits? Why?

Answer 11

Proximal to ACA - due to collateral circulatio of circle of Willis

Question 12

What does the MCA supply (3)

Answer 12

Lateral Cerebral Cortex
Basal Ganglia
Large portions of Internal Capsule

Question 13

The Basilar Artery supplies ____ and terminates in ____

Answer 13

Ventral Portion of Pons and Terminates in PCA

Question 14

Medial Medullary Syndrome

Answer 14

Occlusion of vertebral anterior branch of lower basilar artery

Question 15

Lateral Medullary Syndrome (Wallenberg) (3 arteries)

Answer 15

Occlusion of vertebral, posterior inferior cerebellar or basilar artery

Question 16

Basilar Artery syndrome produces what syndrome?

Answer 16

Locked in

Question 17

Basilar Artery syndrome affects what two regions?

Answer 17

Brainstem and PCA signs and symptoms

Question 18

Medial Inferior Pontine Syndrome

Answer 18

Occlusion of paramedian branch of basilar artery

Question 19

Lateral inferior pontine syndrome

Answer 19

Occlusion of anterior inferior cerebellar artery

Question 20

PCA Syndrome affects what arteries?

Answer 20

PCA and posterior communicating

Question 21

What 4 locations does the PCA effect?

Answer 21

Midbrain
Temporal Lobe
Diencephalon
Posterior third of Cortex

Question 22

5 stages of Stroke Recovery

Answer 22

1. Initial Flaccidity - no movement
2. Emergence of spasticity, hyperreflexia, synergies
3. Movement in synergies - strong spasticity
4. Voluntary control in isolated joint movements - decline in synergy
5. Increasing control out of synergy - coordination issues
6. Control/coordination near normal

Question 23

What lobe is associated with perceptual deficits?

Answer 23

Parietal Lobe - usually R

Question 24

What lobe causes a pt to be slow, caution and hesitant?

Answer 24

Left Hemisphere Lesion

Question 25

Which side lesion causes people to be impulsive, poor judgement safety?

Answer 25

Right Hemisphere

Question 26

What causes sissoring?

Answer 26

Spastic Adductors

Question 27

What will gait look like with weak hip flexors?

Answer 27

Circumduction

Question 28

When should you not use CIMT?

Answer 28

Patients who do not meet the minimal movement criteria of wrist and finger movement

Question 29

MCA vs ACA affects more UE or LE

Answer 29

MCA - LE more spared | ACA - UE more spared

Question 30

Midbrain Lesions causes what two things?

Answer 30

Contralateral Hemiplegia | Contralateral CN III Palsy

Question 31

What causes contralateral sensory loss

Answer 31

PCA Syndrome

Question 32

What is a lacunar stroke?

Answer 32

Pure Motor Stroke

Question 33

What does a pure motor stroke cause?

Answer 33

Contralateral hemiplegia UE and LE

Question 34

Do you get aphasia with a lacunar stroke?

Answer 34

No - it is pure motor

Question 35

Pontine Lesion causes issues contralateral or ipsilateral?

Answer 35

Ipsilateral