Stroke syndromes: Difference between revisions

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==Stroke Syndromes==
#REDIRECT[[Stroke (main)]]
===Anterior Circulation===
*Blood supply via internal carotid system
*Includes [[Stroke_(Main)#Anterior_Cerebral_Artery_.28ACA.29|ACA]] and [[Stroke_(Main)#Middle_Cerebral_Artery_.28MCA.29|MCA]]
====Anterior Cerebral Artery (ACA)====
'''Signs and Symptoms:'''
*Contralateral sensory and motor symptoms in the lower extremity (sparing hands/face)
*Left sided lesion: akinetic mutism, transcortical motor aphasia
*Right sided lesion: Confusion, motor hemineglect
====Middle Cerebral Artery (MCA)====
'''Signs and Symptoms:'''
*Hemiparesis, facial plegia, sensory loss contralateral to affected cortex
*Motor deficits found more commonly in face and upper extremity than lower extremity
*Dominant hemisphere involved: aphasia
*Nondominant hemisphere involved: inattention, neglect, dysarthria without aphasia
*Homonymous hemianopsia and gaze preference toward side of infarct may also be seen
===Posterior circulation===
*Blood supply via the vertebral vertebral artery
*Branches include, [[Stroke_(Main)#Basilar_artery|Basilar artery]], [[Stroke_(Main)#Posterior_Cerebral_Artery_.28PCA.29|PCA]] and [[Stroke_(Main)#Posteroinferior_Cerebellar_Artery_.28PICA.29|PICA]]
'''Signs and Symptoms:'''
*Crossed neuro deficits (i.e., ipsilateral CN deficits w/ contralateral motor weakness)
*Multiple, simultaneous complaints are the rule
*Vertigo, headache, nausea, visual disturbances, oculomotor palsies, ataxia
*Isolated events are not attributable to vertebral occlusive disease (e.g. isolated lightheadedness, vertigo, transient ALOC, drop attacks)
====Basilar artery====
'''Signs and Symptoms:'''
*Quadriplegia, coma, locked-in syndrome
====Posterior Cerebral Artery (PCA)====
'''Signs and Symptoms:'''
*Unilateral headache (most common presenting complaint)
*Visual field defects (contralateral homonymous hemianopsia, unilateral blindness)
*Motor function is typically minimally affected
====Posteroinferior Cerebellar Artery (PICA)====
'''Signs and Symptoms:'''
*Vertigo, gait instability, limb ataxia, Headache, dysarthria, Nausea and Vomitting, [[Cranial Nerve]] abnormalities
 
[[Neurology]]

Latest revision as of 00:25, 27 August 2015

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