Stroke Tutorials

Question 1

Which area of damage is dysphagia suggestive of?

Answer 1

Left temporal lobe - Wernicke’s area

Question 2

Which side of the brain is damaged to get right sided hemiplegia?

Answer 2

Left sided damage

Question 3

What is drowsiness and vomiting suggestive of?

Answer 3

Haemorrhage and raised ICP

Question 4

What is the presence of Cushing’s reflex suggestive of?

Answer 4

Raised ICP

Question 5

What investigations should you conduct for suspected left MCA haemorrhage?

Answer 5

Standard CT

CT angiography

Question 6

What is hemiplegia combined with dysarthia suggestive of damage to?

Answer 6

The internal capsule

Question 7

If a CT appears as normal, with no evidence of haemorrage, combined with stroke symptoms such as sudden left sided weakness, how should you treat it?

Answer 7

Treat at stroke - thrombolysis

Question 8

Why is steroid use important in a stoke history?

Answer 8

They are thrombophilic (hypercoagulable/prothrombotic)

Question 9

If you are presented with three discrete areas of intra-cerebral haemorrhage, each in the territory of a different cerebral artery, what does this suggest?

Answer 9

Cerebral Venous Sinus Thrombosis

Question 10

How would you treat CVST?

Answer 10

CT venogram, Anticoagulants

Question 11

If you are presented with left LMN facial weakness, with right UMN arm and leg weakness what does this suggest?

Answer 11

Brainstem affected

Question 12

Sudden onset is suggestive of a _____ root to the cause

Answer 12

Vascular

Question 13

LMN CN signs are suggestive of damage to the ______

Answer 13

brainstem

Question 14

Funny eye movements are suggestive of damage to the _______

Answer 14

brainstem

Question 15

Explain where each cranial nerve leaves the brain.

Answer 15

I - Olfactory Bulb

II - Lateral Geniculate Nucleus

        III    IV    - Tegmentum

V VI VII VIII - Pons

IX   X   XI   XII - Medulla