Stroke

Question 1

Acute onset
focal neurological deficits
referable to a vascular territories
with vascular risk factors

Answer 1

Stroke

Question 2

can stroke lead to lifelong disability?

Answer 2

yas

Question 3

emergency tx for stoke to reduce morbidity and mortality is

Answer 3

time-limited

Question 4

differentiating btw. large and small vessel pathologies determines the

Answer 4

best tx and which location is best

Question 5

aphasia

Answer 5

language dysfunction

Question 6

loss of power (weakness)

Answer 6

hemiparesis

Question 7

sensory dysfunction

Answer 7

hemianesthesia, paresthesia

Question 8

visual field loss

Answer 8

hemianopia, quadrantanopia

Question 9

visuospatial inattention

Answer 9

hemineglect, gaze paresis

Question 10

cognitive:

• executive dysfunction:
• lack of motivation:
• memory dysfunction

Answer 10

• executive dysfunction: problems with planning, attention

- lack of motivation: abulia

Question 11

loss of cordination

Answer 11

hemiataxia, gait ataxia

Question 12

thunderclap headache

Answer 12

subarachnoid hemorrhage

Question 13

Amaurosis fugax leads to

Answer 13

monocular vision loss

Question 14

Horner’s syndrome leads to

Answer 14

ptosis, miosis

Question 15

transient monocular vision loss is often a harbringer of

Answer 15

ischemic stroke

Question 16

dominant frontal lobe

Answer 16

left inferior frontal gyrus

Question 17

what vessel is affected with this particular ischemic stroke that results with the patients coming in with an abrupt, painless paralysis of a single limb

Why?

Answer 17

anterior cerebral artery

• supplies blood supply to the primary motor cortex (medial)

Question 18

posterior circulation stroke

Answer 18

affects more in a region like manner thus it is recognized more as a partial or incomplete syndrome

it is characterized by multiple lesions that can be either unilateral or bilateral

Question 19

locked in syndrome is what type of stroke?

Answer 19

locked in syndrome

Question 20

vertebral artery supplies areas involved in

Answer 20

coordination- cerebellum

Question 21

basilar artery territory supplies areas involved in

Answer 21

consciousness- brainstem pons/midbrain

Question 22

posterior cerebral artery territory supplies areas involved in

Answer 22

higher function- thalamus

Question 23

pulsion

Answer 23

falling to one side

Question 24

anterior spinal artery stroke can lead to

Answer 24

bilateral motor or sensory deficit

• back pain is common

Question 25

basilar artery stroke can lead to

Answer 25

depressed consciousness and/or convulsions

Question 26

stroke that leads to visual hallucinations and visual processing difficulty

Answer 26

vestibular nuclei likely affected thus it is likely a posterior cerebral artery occlusion