Stroke Syndromes: Key Concepts Flashcards
Stroke is ____ due to high metabolic demands of the brain
abrupt (acute)
Stroke is ___, meaning it is a regional brain injury related to vascular territories
focal
____ is salvageable brain tissue in stroke and is targeted in acute stroke interventions
Pneumbra
Recovery of stroke symptoms is due to restoration of perfusion to what?
Pneumbra
Collateral circulation temporarily maintains viability of the ____
Pneumbra
What determines focal brain involvement?
vascular supply
What are the main presentations of a Left MCA stroke?
- Weakness and numbness of RIGHT face and arm
2. Aphasia (Left = Language)
What are the main presentations of a Right MCA stroke?
- Weakness and numbness of LEFT face and arm
2. Neglect (inattention to contralateral space)
What are the main presentations of an ACA stroke?
Weakness and numbness of CONTRALATERAL leg
What are the main presentations of a PCA stroke?
CONTRALATERAL visual field deficit
What structures are affected in a stroke of the basilar or vertebral arteries?
Cerebellum and Brainstem
What is a small vessel stroke also called?
Lacunar Stroke
The clinical symptoms of a Lacunar Stroke include:
- ___ cortical signs
- Entire ____ hemibody often affected
- ____ motor/sensory fiber deficits in more body parts than large vessel strokes (internal capsule, thalamus)
NO cortical signs
Contralateral
Descending
Ataxic hemiparesis affects ___ OR ____
ventral pons; internal capsule
Distribution of weakness and numbness is always what?
contralateral