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31 Cards in this Set

  • Front
  • Back
sx of a lacunar thalamic stroke
sensory
sx of a lacunar pontine stroke
dysarthria, clumsy hands
what do pupils look like in a pontine ich
pinpoint
what do pupils look like in a thalamic ich
poorly reactive to light
what do pupils look like in a putamen ich
dilated
most common locations for a berry aneurysm in brain
pca > aca > mca
medical tx for sah
ccb to prevent vasospasms
gradually decrease bp
complications of sah
30% rerupture
50% vasospasm
which way do eyes deviate in a stroke involving the pons
away
which way do eyes deviate in a stroke involving the cortex
towards
which way do eyes deviate in a stroke involving the thalamus
eyes deviate downwards
most common cause of ich
sudden increase in bp
most common cause of sah
ruptured aneurysm
most common cause of ischemic stroke
embolic stroke
most common cause of lacunar stroke
microathetroma and lipohylinosis
in small penetrating arteries of brain
where is the lesion:
paralysis of left side of tongue with right limb weakness
paramedian medulla oblongata
where is the lesion:
left facial pain, vertigo and vomiting at onset with loss of pain and temp in L face
loss of pain and temp in R limbs adn trunk
L horner's syndrome
dysphagia
wallenberg syndrome
(2/2 PICA or vertebral artery branch infarct)
where is the lesion:
left 3rd nerve palsy and right hemiplegia
(if awake)
if unconscious
midbrain involving basis pedunculi and cn III

left cerebral mass lesion with increased icp
where is the lesion:
left 3rd nerve palsy with involuntary movements and incoordination of right limbs
midbrain involving red nucleus and cn iii
where is the lesion:
weakness of lle
loss of vibratory and position sense in lle
impaired pain and tmp in rle
beevor's sign
brown sequard syndrome at t9
where is the lesion:
weakness of rle and lue
pyramidal decussation
where is the lesion:
weakness of b/l le
increased dtr on triceps, patellar, and ankle
depressed biceps reflex
b/l babinski
c-spine at c-5
where is the lesion:
tingling paresthesiae with impairment of perception of vibration and position in b/l le
increased patellar and ankle jerks
b/l babinski
posterolateral sclerosis (seen with B12 deficiency or copper deficiency)
where is the lesion:
weakness and atrophy of ue
weakness of le
increased biceps, triceps, patellar, and ankle jerks
b/l babinski
fasciculations in le and tongue
als
where is the lesion:
left limb weakness
left sided sensory loss
left homonymous hemianopsia
conjugate deviation to right
right cerebral hemisphere
where is the lesion:
left limb weakness
right facial weakness
conjugate eye deviation to left
right pons
where is the lesion:
left limb weakness
right facial weakness
right pons
where is the lesion:
loss of vision in right eye
neither pupil reacts to light in right eye
left sided temporal visual field defect in left eye
optic chiasm involving right optic nerve and crossing fiber from left eye
where is the lesion:
decreased visual acuity in right eye with paracentral scotoma and enlargement of blind spot
right papillitis
optic neuritis
where is the lesion:
right third nerve palsy
if pupil is spared

if pupil is involved
intrinsic third nerve lesion (microvascular, from dm)

pressure on third nerve - pca aneurysm
where is the lesion:
b/l limb incoordination and weakness with weakness of adduction of either eye
brainstem