Stroke Syndromes Flashcards
Akinetic mutism
Transcortical motor aphasia (repetition ability retained)
Contralateral sensory & motor symptoms in LE
ACA infarction
Contralateral hemiparesis
Contralateral facial plegia
Contralateral sensory loss
MCA infarction
Ataxia
Nystagmus
Altered mental status
Vertigo
PCA infarction
Crossed neurologic deficits:
ipsilateral CN deficit’
Contralateral motor weakness
Brainstem lesion
Unilateral cortical blindness
Contralateral homonymous hemianopsia
Distal posterior circulation stroke
Unilateral limb weakness Dizziness Dysarthria N/V Dizziness Horner's syndrime
Basilar artery occlusion (Middle posterior circulation)
N/V Dysphagia Nystagmus Unilateral limb weakness/ ataxia Unilateral CN V symptoms
Vertebrobasilar occlusion (Proximal posterior occlusion)
Dizziness w/ or w/o vertigo N/V Headache Gait instability Limb ataxia
Cerebellar infarction
Pure motor or pure sensory deficit
Lacunar infarction
Unilateral headache Neck pain Face pain History of migraine Other RF: HTN, large vessel arteriopathies
Carotid/ vertebral artery dissection
Tx of carotid/ vertebral artery dissection
IV heparin ff by warfarin to maintain INR 2-3
Goal time in stroke protocol
all eval & interventions done in 60 mins
In stroke protocol, brain imaging should be done within __ mins of patient’s arrival
25 mins
Only lab test result required prior to thrombolytic therapy
Bedside glucose determination
Permissive hypertension allows BP below __/__
220/120 mmHg