STROKE

Question 1

Anterior cerebral artery

Answer 1

• Contralateral hemiparesis
• Contralateral sensory loss
• Lower > upper

Question 2

Middle cerebral artery

Answer 2

• Contralateral hemiparesis
• Contralateral sensory loss
• Upper > lower
• Contralateral homonymous hemianopia
• Aphasia

Question 3

Posterior cerebral artery

Answer 3

• Contralateral homonymous hemianopia with macular sparing
• Visual agnosia

Question 4

Weber’s syndrome

Answer 4

• Ipsilateral CN III palsy
• Contralateral weakness of upper and lower extremity

Question 5

PICA

Answer 5

Also LMS/wallenberg
- Ipsilateral face pain and temperature loss
- Contralateral limb/torso pain and temp loss
- Ataxia
- Nystagmus

Question 6

Anterior inferior cerebellar artery

Answer 6

• PICA
• Ipsilateral facial paralysis and deafness

Question 7

basilar artery

Answer 7

locked in syndrome

Question 8

Lacunar strokes

Answer 8

• Isolated hemiparesis
• Hemisensory loss
• Hemiparesis with limb ataxia

Question 9

Total anterior circulation stroke

Answer 9

• Unilateral weakness of face, arm and leg
• Homonymous hemianopia
• Higher cerebral dysfunction = dysphasia, visuospatial

Question 10

Partial anterior circulation stroke

Answer 10

2 of
- Unilateral weakness of face, arm, leg
- Homonymous hemianopia
- Higher cerebral dysfunction

Question 11

Lacunar syndrome

Answer 11

One of
- Pure sensory
- Pure motor
- Sensori-motor
- Ataxic hemiparesis

Question 12

Posterior circulation syndrome

Answer 12

One of
- CN palsy and contralateral motor/sensory deficit
- Bilateral motor/sensory deficit
- Conjugate eye movement
- Cerebellar dysfunction
- Isolated hemianopia