stroke by anatomy

Question 1

presentation of anterior cerebral artery stroke

Answer 1

contralateral hemiparesis and sensory loss, lower > upper extremity

Question 2

presentation of middle cerebral artery stroke

Answer 2

contralateral hemiparesis and sensory loss, upper > lower extremity
contralateral homonymous hemianopia
aphasia

Question 3

presentation of posterior cerebral artery stroke

Answer 3

contralateral homonymous hemianopia with macular sparing
visual agnosia

Question 4

presentation of weber’s syndreom

Answer 4

ipsilateral CN III palsy
contralateral weakness of upper and lower extremity

Question 5

presentation of posterior inferior cerebellar artery stroke (lateral medullary syndrome, wallenberg syndrome)

Answer 5

ipsilateral: facial pain and temperature loss
contralateral: limb/torso pain and temperature loss
ataxia, nystagmus

Question 6

presentation of anterior inferior cerebellar artery stroke (lateral pontine syndrome)

Answer 6

symptoms are similar to wallenberg: Ipsilateral: facial pain and temperature loss
Contralateral: limb/torso pain and temperature loss
but: ipsilateral facial paralysis and deafness

Question 7

presentation of retinal/ophthalmic stroke

Answer 7

amaurosis fugax