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19 Cards in this Set

  • Front
  • Back

3 Etiologies of stroke




5 risk factors for stroke



Cardiac disease

Diabetes, metabolic syndrome

Transient ischemic attacks--TIAs

After how long does irreversible brain damage happen after lack of oxygen

4-6 min

Lesions to the cerebral cortex and internal capsule result in stroke of what arteries

internal carotid

anterior cerebral

middle cerebral

What are the typical characteristics of ICA stroke

usually results in brain herniation, coma, or death

massive infarct

what are the typical characteristics of MCA stroke

contralateral hemiparesis and sensory loss--face and UE more affected

homonymous hemianopsia

dominant hemisphere L-- nonfluent aphasia

nondominant hemisphere R--perceptural deficits

loss of conjugate gaze to OPPOSITE SIDE

what are the typical characteristics of ACA stroke

contralateral hemiparesis and sensory loss LE more affected

mental confusion, aphasia

dominant side--contralateral neglect

what are the typical characteristics of PCA stroke

contralateral sensory loss

involuntary movements-tremor

transient contralateral hemiparesis

homonymous hemianopsia

visual agnosia

memory deficit


central thalaimc pain

oculomotor nerve palsy

what are the typical characteristics of a lacunar stroke of posterior limb?

pure motor

contralateral hemiplegia UE and LE

What are the typical characteristics of

medial inferior pontine syndrome

SAME SIDE: paralysis of conjugate gaze to side of lesion, nystagmus, cerebellar ataxia, diplopia

OPPOSITE SIDE: hemiparesis of face, UE, LE, impaired sensation

what are the typical characteristics of lateral inferior pontine syndrome

SAME SIDE: nystagmus, vertigo, facial paralysis, paralysis of conjugate gaze to side of lesion, deafness, tinnitus, ataxia, impaired sensation over face

OPPOSITE SIDE: impaired pain and temperature over 50% of body

what is characteristic in Locked in syndrome and what artery is affected

complete basilar artery

tetreplegia, mutism, lower bulbar paralysis CN V-XII

preserved consciousness and vertical eye movement

can communicate with blinking only

what are typical characteristics in medial medullary syndrome

SAME SIDE: paralysis of 1/2 of tongue--deviates to affected side

OPPOSITE: paralysis of UE and LE, impaired tactile and proprioception

what are typical characteristics of lateral medullary syndrome. what is another name for this syndrome

Wallenbergs syndrome

SAME SIDE: cerebellar ataxia, vertigo, nystagmus, sensory loss to UR, trunk or LE

OPPOSITE SIDE: loss of pain and temp to body and face

what are the 6 stages of recovery from stroke

Stage 1: initialflaccidity, no voluntary movement

Stage 2: emergenceof spasticity, hyperreflexia, synergies

Stage 3: voluntarymovement possible, but only in synergy, spasticity strong

Stage 4: voluntarycontrol in isolated joint movements emerging, corresponding decline ofspasticity and synergies

Stage 5: increasingvoluntary control out of synergy, coordination deficits present

Stage 6: control andcoordination near normal

gait deficits: hip

poor hip position--retracted,flexed



insufficient pelvic rotation during swing

weak hip flexors

gait deficits: weak hip flexor compensatory strategies


ER with adduction

backward leaning of trunk

exaggerated flexion synergy

gait deficits: knee

weak knee extensors

spastic quads can result in hyperextension

gait deficits: ankle

foot drop

equinus gait-heel does not touch down

varus foot--lateral WB