Stroke effects

Question 1

Memory

Answer 1

Impairments in 13-50% of patients in the first week. Diminishes later. Majority suffer anterograde amnesia. Retrograde is less common. Encoding verbal is hard

Question 2

Attention / speed of processing

Answer 2

40% show impaired attention. Devided is often impaired. Salient under time pressure

Question 3

Language

Answer 3

21-38% suffer from aphasia in acute phase. May persist in mild form. Angular gyrius damage can result in writing and calculating impairments.

Question 4

Perception

Answer 4

Visual field impairments can occur after posterior cerebral artery damage. Homonymous hemianopsia can result in hallucinations. Righ hemis results in visual and colour agnosia. Middle cerebral in neglect. Parietal lobe in body perception impairment

Question 5

Executive functions

Answer 5

50% get acute impaiments. Abulia (inability ot initiate action) cerebellunm is important

Question 6

Praxis and motor system

Answer 6

Damage to middle cerebral artery can result in apraxia (inabillity to carry out meaningful movements)

Question 7

Social cognition

Answer 7

Right; casue social consequences

Lef: Control and inhibition. apathy loss of initiative and blunted affect are seen.

Question 8

Vascular dementia

Answer 8

Most common type of dementia after alzheimer. Caused by single infarct in strategic location in the brain like thalamus. Commoly result of various major / minor infarcts that occur in brain.

Question 9

Disorentation, delirium an d confusion

Answer 9

Risk factors inlcude age and dementia. Reduplicative paramnesia can be found in combitation with delirium. Belief that place/location is duplicated.

Question 10

Fatigue and depression

Answer 10

Fatigue in 50%, depression; mood changes in almost all. Lack of insight