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40 Cards in this Set
- Front
- Back
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Loss of vision in one eye secondary to retinal emboli indicating carotid artery disease.
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Amaurosis fugax
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Contralateral hemiparesis and sensory impairment (arm, face, and leg)
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Proximal (to lenticulostriate branches) MCA stroke
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Contralateral hemiparesis and sensory impairment (arm and face >leg)
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Distal (to lenticulostriate branches) MCA stroke
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Gaze preference toward hemiplegia
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MCA stroke
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Aphasia and Gerstmann's syndrome
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Dominant hemisphere MCA stroke
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Anosognosia or
asomatosognosia |
Non-dominant hemisphere MCA stroke
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Contralateral hemiparesis and sensory impairment (leg>arm)
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ACA stroke
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Abulia and urinary incontinence
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ACA stroke
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Medial lenticulostriate artery
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Artery of Heubner
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Proximal ACA stroke (involving artery of Heubner) findings
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Contralateral arm and face hemiparesis
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Artery that supplies internal segment of globus pallidus and choroid plexus
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Anterior choroidal artery
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Presents as contralateral hemiplegia and hemisensory loss with "beak-like" contralateral homonymous hemianopsia
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Anterior choroidal artery stroke
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Determines posterior circulation stroke etiology
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Crossed findings
e.g. ipsilateral CN; contralateral body |
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Distal vertebral artery stroke
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Causes medial medullary syndrome due to anterior spinal artery ischemia
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Contralateral hemiplegia with the face being spared
Contralateral loss of vibration/propioception Ipsilateral tongue weakness (50%) |
Medial medullary syndrome
(anterior spinal artery) |
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Proximal vertebral artery stroke
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Causes lateral medullary syndrome due to PICA ischemia
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Contralateral (arm/leg) pain/temperature loss
Ipsilateral (face) pain/temperature loss Horner's syndrome Nystagmus |
Lateral medullary syndrome
(PICA) |
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Artery that supplies ventral cerebellum and middle cerebellar peduncle
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AICA
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Presents as vertigo and ipsilateral loss of facial sensation, ataxia, and hearing loss
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AICA stroke
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Causes choreiform dyskinesia and hearing loss with contralateral loss of pain and temperature
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Superior cerebellar artery
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Results in severe bilateral motor, sensory, and CN deficits with or without coma.
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Basilar artery stroke
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Causes "locked-in" syndrome
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Basilar artery stroke
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Eyes look toward hemiplegia
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Pontine stroke
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Eyes look away from hemiplegia
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MCA stroke
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Weber's syndrome
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Ipsilateral 3rd nerve palsy
contralateral hemiparesis |
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Causes Weber's syndrome
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PCA stroke
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Contralateral homonymous hemianopsia with macular sparing
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PCA stroke
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Causes alexia without agraphia
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Dominant hemisphere PCA stroke
(involves left occipital lobe and splenium of corpus callosum) |
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Anton syndrome
Simultanagonosia |
Bilateral PCA stroke
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Small vessel strokes located in subcortical regions of the brain
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Lacunar strokes
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Most common lacunar stroke
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Pure motor stroke
(involves lenticulostriate branch of MCA) |
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Weakness of contralateral face, arm, and leg, without sensory involvement
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Pure motor lacunar stroke
(involves lenticulostriate branch of MCA) |
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Sudden loss of sensation in face, arm, and leg, without motor involvement
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Pure sensory lacunar stroke
(involves thalamus) |
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Hemiballismus
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Subthalamic nucleus infarction
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Most common location for hypertensive hemorrhage
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Putamen
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Second most common location for hypertensive hemorrhage
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Thalamus
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ICH with greater motor than sensory loss
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Putaminal hemorrhage
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ICH with greater sensory than motor loss
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Thalamic hemorrhage
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Occipital headache, stiff neck, N/V, and vertigo
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Cerebellar hemorrhage
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SAH etiology
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Berry (saccular) aneurysm burst, most commonly in anterior COW. (Genetic defect)
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