STROKE PATTERNS

Question 1

Main Neurological Symptoms

Answer 1

Headaches
Diplopia
Vision Loss
Dizziness / Off balance
Vertigo
Dysarthria
Aphasia
Dysphagia
Facial Droop
Paresis
Sensory Loss

Decreased LOC
Change in Personality

Are the above symptoms getting better or worse?

Question 2

Clinical Features: MCA Stroke

Answer 2

CHANGES:

C/L Paresis & Sensory loss of face and arms

Hemiparesis

Aphasia (dominant)

Neglect (non dominant)

Gaze Preference towards Side of Lesion

Question 3

Clinical Features: PCA Stroke

Answer 3

Diplopia

Dizziness

Dysphagia

Dysarthria

Vertigo

Homonymous Hemianopsia

Question 4

Clinical Features: ACA Stroke

Answer 4

C/L Paresis & Sensory loss in legs

C/L motor neglect

Cognitive and Personality changes

+/-Incontinence

Question 5

Clinical Features: Lacunar Stroke

Answer 5

Pure Motor (MC)

Pure Sensory

Mixed Sensorimotor

Dysarthria-Clumsy Hand Syndrome (LC)

Ataxic Hemiparesis

Question 6

Clinical Features: Vertibral Basilar

Answer 6

Quadriplegia

Coma

Locked-In Syndrome

CN Dysfunction

Question 7

Clinical Features: Thalamic Stroke

Answer 7

Hemisensory impairment (face/arm/leg)

Central pain syndrome

Alternation in senses (except smell)

Visual field deficit: homonymous hemianopsia, quadrantanopia, sectoranopia

Decreased LOC