Stroke- Symptoms By Arteria Occlusion (course Manual)

Question 1

Middle Cerebral Artery

Answer 1

Most common
CL Hemiplegia
UE>LE (sensation loss primarily in arm and face)
Homonymous hemianopsia

L MCA: Aphasia (global is mainstem MCA is affected)
R MCA: poor judgement

Question 2

Anterior cerebral artery

Answer 2

Rare
CL hemiplegia
LE>UE

Possible symptoms: mental confusion, Aphasia, CL neglect

Question 3

Posterior Cerebral Artery

Answer 3

Persistent pain syndrome
CL pain and temperature loss

Possible symptoms: homonymous hemianopsia, Aphasia, thalamic pain syndrome

Question 4

Vertebral-Basilar Artery

Answer 4

Very serious, often results in death (basilar supply to brainstorm and pons)

If survival: locked in syndrome

• pons affected: quadriplegia, bulbar palsy
• only communication is with eye blinking

Other vertebral artery symptoms: vertigo, coma, diplopia, nausea, dysphasia, ataxia

Question 5

Anterior inferior cerebellar

Answer 5

Unilateral deafness
CL loss of pain and temp sensation
Paresis of lateral gaze
UL Horner's syndrome *
Nystagmus
Ataxia
Vertigo

Question 6

Superiors cerebellar Artery

Answer 6

Severe ataxia
Dysarthria
Dysmetria
CL pain and temp loss

Question 7

Posterior Inferior Cerebellar

Answer 7

Wallenberg’s syndrome: impaired sensation in IL FACE and CL TORSO AND LIMBS; accompanied by:

• vertigo
• nausea
• hoarseness
• dysphasia
• ptosis