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31 Cards in this Set
- Front
- Back
sx of a lacunar thalamic stroke
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sensory
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sx of a lacunar pontine stroke
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dysarthria, clumsy hands
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what do pupils look like in a pontine ich
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pinpoint
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what do pupils look like in a thalamic ich
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poorly reactive to light
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what do pupils look like in a putamen ich
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dilated
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most common locations for a berry aneurysm in brain
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pca > aca > mca
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medical tx for sah
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ccb to prevent vasospasms
gradually decrease bp |
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complications of sah
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30% rerupture
50% vasospasm |
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which way do eyes deviate in a stroke involving the pons
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away
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which way do eyes deviate in a stroke involving the cortex
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towards
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which way do eyes deviate in a stroke involving the thalamus
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eyes deviate downwards
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most common cause of ich
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sudden increase in bp
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most common cause of sah
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ruptured aneurysm
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most common cause of ischemic stroke
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embolic stroke
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most common cause of lacunar stroke
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microathetroma and lipohylinosis
in small penetrating arteries of brain |
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where is the lesion:
paralysis of left side of tongue with right limb weakness |
paramedian medulla oblongata
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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) |
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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 |
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where is the lesion:
left 3rd nerve palsy with involuntary movements and incoordination of right limbs |
midbrain involving red nucleus and cn iii
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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
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where is the lesion:
weakness of rle and lue |
pyramidal decussation
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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
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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)
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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
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where is the lesion:
left limb weakness left sided sensory loss left homonymous hemianopsia conjugate deviation to right |
right cerebral hemisphere
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where is the lesion:
left limb weakness right facial weakness conjugate eye deviation to left |
right pons
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where is the lesion:
left limb weakness right facial weakness |
right pons
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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
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where is the lesion:
decreased visual acuity in right eye with paracentral scotoma and enlargement of blind spot |
right papillitis
optic neuritis |
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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 |
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where is the lesion:
b/l limb incoordination and weakness with weakness of adduction of either eye |
brainstem
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