Stroke

Question 1

ischemic vs hemorrhagic stroke?

Answer 1

ischemic: clot of blockage
hemorrhagic: rupture or leakage of blood vessel

Question 2

what is a cerebral thrombosis?

Answer 2

blood clot within cerebral arteries and their branches

Question 3

what is a cerebral embolism?

Answer 3

traveling bits of matter that produce occlusion and infarction in cerebral arteries

Question 4

which has worse prognosis ischemic or hemorrhagic?

Answer 4

hemorrhagic

Question 5

what is an epidural hematoma?

Answer 5

between skull and dura

Question 6

what is a subdural hematoma?

Answer 6

midline shift; crescent shape; between dura and arachnoid
contralateral hemiparesis

Question 7

what is a subarachnoid hemoatoma?

Answer 7

unable to identify lateral ventricles; between arachnoid and pia
bleeding into brain
worse prognosis

Question 8

what is a transient ischemic attack?

Answer 8

temporary period of symptoms from decreased blood supply to brain

Question 9

S&S of ACA infarct

Answer 9

contralateral loss of LE motor and sensory function
loss of bowel and bladder function
aphasia, apraxia, agraphia, and akinetic mutism

Question 10

S&S of MCA infarct

Answer 10

UE more affected
contralateral weakness and loss of face sensory function
wernicke aphasia, apraxia, anosognosia
homo hemi

Question 11

S&S of ICA infarct

Answer 11

ICA included MCA and ACA so can include all those that would occur with either

Question 12

S&S of PCA infarct

Answer 12

contralateral hemiplegia
contralateral loss of pain and temperature sensation
prosopagnosia

Question 13

S&S of vertebral basilar artery infarct

Answer 13

locked in syndrome

Question 14

S&S of internal capsule infarct

Answer 14

supranuclear palsy
weakness of contralateral lower half of face and extremities
decreased corticobulbar tract function

Question 15

how do you differentiate between an SCI and a CVA?

Answer 15

SCI never affects the face

Question 16

S&S of brain stem infarct

Answer 16

both ipsilateral face and contralateral limb impairments

Question 17

S&S of cerebellum infarct

Answer 17

ipsilateral impairments
ataxia, dysdiadochokinesia, dysmetria, dyssynergia, dysphasia

Question 18

what is pushers syndrome?

Answer 18

pt actively pushes away from nonhemiparetic side, leading to loss of postural balance
abduction and extension of loss affected extremities