Symptoms of Stroke Based on Location

Question 1

Anterior Cerebral

Answer 1

• Contralateral Lower Limbs
• Bladder Dysfunction
• Executive Function Difficulty

Question 2

Middle Cerebral

Answer 2

• Contralateral Upper Limbs
• Speech Deficits

Question 3

Posterior Cerebral

Answer 3

• Visual Defects

Question 4

Lacunar Stroke (Subcortex)

Answer 4

• Intact speech/awareness
• Motor/Sensory Damage
• Can be pure motor/sensory, or sensorimotor

Question 5

MCA - Superior Division (Brain Area Supplied)

Answer 5

Lat. Frontal and Sup. Parietal Lobes

Question 6

MCA- Superior Division

Answer 6

Contralateral Weakness (face, upper limbs > lower limbs)
- Contraletaeral Sensory loss
- Expressive aphasia
- Contralateral hemineglect

Question 7

MCA - Inferior (Brain Areas Supplied)

Answer 7

Lat. Temporal Lobe

Question 8

MCA- Inferior

Answer 8

• Contra. Homonymous Hemianopia
• Contra. Upper Quadrantopia
• Recpetive Aphasia (if dominant hemisphere affected)
• Constructional Aphasia (if non-dominant hemisphere affected)

Question 9

Gertsmann Syndrome

Answer 9

• Parietal Lobe of Dominant Side affected
• Acalculia
• Agraphia
• Finger Agnosia
• L/R Disorientation
• Alexia

Question 10

Ataxic Hemiparesis

Answer 10

• Posterior limb of internal capsule of baiss pontis affected
• Contra. Weakness (leg > arm)
• No facial movement or speech disturbance

Question 11

ACA Stroke Syndrome

Answer 11

• Contra. Weakness (leg > arm/face)
• Contra. Sensory Deficits
• Abulia
• Speech Disturbance (transcortical motor aphasia/ transcortical mixed aphasia)
• Urinary Incontinence
• Ipsilateral Ataxia + Contra. Leg Weakness

Question 12

Bilateral ACA Stroke

Answer 12

• Bilateral leg weakness
• Primitive Reflexes Return

Question 13

PCA Stroke Syndrome (Corpus Callosum, Occipital Lobe)

Answer 13

• Alexia without Agraphia
• Contra. Homonymous Hemianopia

Question 14

Unilateral Occipital Lobe

Answer 14

• Inferior Temporal Lobe in some instances
• Contra. Homonymous Hemianopia
• Anomia

Question 15

Anton Syndrome (Bilateral Occipial Lobes)

Answer 15

• Vision Loss (often insists they can see)

Question 16

Balint Syndrome (Bilateral Parieto-Occipital Lobes)

Answer 16

• Oculomotor Apraxia (loss of voluntary eye movement)
• Optic Ataxia (can’t guide hand toward object using eyes)
• Simultagnosia (can’t perceive multiple stimuli in viusal field)

Question 17

Thalamic Pain Syndrome (Deeper Branches Supplying Thalamus)

Answer 17

• Contra. Hemibody Pain (initial numbness/tingling progesses to debilitating burning
• Allodynia (pain from typically non-painful stimuli)
• Hyperalgesia (increased pain sensitivity)

Question 18

Claude Syndrome (Midbrain)

Answer 18

• Contralateral Ataxia
• Contralateral Weakness (hemiparesis)
• Ipsilateral Oculomotor Palsy (pupil dlation, ‘down and out’ eye displacement, double vision

Question 19

Weber Syndrome (Base of Midbrain)

Answer 19

• Contralateral Weakness
• Ipsilateral Oculomotor Palsy (vaires, typically ipsilateral gaze palsy, often spares the pupils)