Stroke Anatomy

Question 1

What are symptoms of ACA stroke?

Answer 1

• Contralateral hemiparesis and sensory loss
• lower extremity > upper

Question 2

What are symptoms of MCA stroke?

Answer 2

• Contralateral hemiparesis and sensory loss
• upper extremity > lower
• Contralateral homonymous hemianopia
• Aphasia

Question 3

What are symptoms of PCA stroke?

Answer 3

• Contralateral homonymous hemianopia with macular sparing
• Visual agnosia

Question 4

Where is the stroke in Weber’s syndrome?

Answer 4

Branches of the PCA that supply the midbrain

Question 5

Where is the stroke in Lateral Medullary syndrome/wallenberg syndrome?

Answer 5

Posterior inferior cerebellar artery

Question 5

What are the symptoms of Webers syndrome?

Answer 5

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

Question 6

How does lateral medullary syndrome present?

Answer 6

• Ipsilateral: facial pain and temperature loss
• Contralateral: limb/torso pain and temperature loss
• Ataxia
• nystagmus

Question 7

Where is the stroke in lateral pontine syndrome?

Answer 7

Anterior inferior cerebellar artery

Question 8

How does lateral pontine syndrome present?

Answer 8

• Ipsilateral: facial paralysis and deafness
• Contralateral: limb/torso pain and - temperature loss
• Ataxia, nystagmus

Question 9

How does retinal/opthalmic artery stroke present?

Answer 9

Amaurosis fugax

Question 10

How does basilar artery stroke present?

Answer 10

‘Locked in’ syndrome