Symptoms by CVA location

Question 1

What are the deficits if there is an infarct in the Left MCA superior division

Answer 1

Broca’s aphasia
Right arm and face weakness
May be right arm and face cortical sensory loss

Question 2

What are the deficits if there is an infarct in the left MCA inferior division

Answer 2

Wernicke's aphasia
Mild right sided weakness
May have right arm and face cortical sensory loss
May be confused or psychotic
Right visual field deficit

Question 3

What are the deficits if there is an infarct in the left MCA deep territory

Answer 3

Right hemiparesis

Larger infarcts may produce cortical deficits (aphasia)

Question 4

What are the deficits if there is an infarct in the left MCA stem

Answer 4

Right homonymous hemianopia
Right hemiplegia
Right hemianesthesia
Global aphasia
left gaze preference

Question 5

What are the deficits if there is an infarct in the right MCA superior division

Answer 5

Left neglect
Left arm and face weakness
Left arm and face cortical sensory loss

Question 6

What are the deficits if there is an infarct in the Right MCA inferior division

Answer 6

Left neglect
Left visual field deficits
Right gaze preference
Mild left sided weakness
Left decreased voluntary movements, but with spontaneous movements and withdrawal from pain

Question 7

What are the deficits if there is an infarct in the Right MCA deep territory

Answer 7

Left hemiparesis

Large infarcts may cause cortical deficits (left sided neglect)

Question 8

What are the deficits if there is an infarct in the Right MCA stem

Answer 8

Left Homonymous hemianopsia
Left hemiplegia
Left hemianesthesia
Left neglect
Right gaze preference

Question 9

What are the deficits if there is an infarct in the Left ACA

Answer 9

Right leg weakness
Right leg cortical sensory loss
Grasp reflex
Behavioral abnormalities
Transcortical aphasia
Large infarcts can cause right hemiplegia

Question 10

What are the deficits if there is an infarct in the Right ACA

Answer 10

Left leg weakness
Left leg cortical sensory loss
Grasp reflex
Behavioral abnormalities
left neglect
Large infarcts can cause left hemiplegia

Question 11

What are the deficits if there is an infarct in the Left PCA

Answer 11

Right Homonymous hemianopsia
Alexia without agraphia - splenium and corpus callosum
Aphasia, right sided sensory loss, right hemiparesis - thalamus, internal capsule

Question 12

What are the deficits if there is an infarct in the Right PCA

Answer 12

Left homonymous hemianopsia

Left sided sensory loss, left hemiparesis - thalamus, internal capsule