De stenose van de arteriën: carotis interna, cerebri media, cerebri anterior, cerebri posterior en de basilaris. Het lacunair syndroom en hCVA worden hierin samengevat.
CVA – SYMPTOMEN –
VAATSYNDROMEN
Stenose van de arterie carotis interna
Kan zonder symptomen (door collaterale circulatie)
Contralaterale verlamming
Voorafgaand door amaurosis fugax
Stenose van de arterie cerebri media
Contralaterale verlamming
Acute fase: deviatie (draaiing) van het hoofd en ogen (richting infarctzone)
Hemihypesthesie (halfzijdige gevoelsstoornis)
In dominante hemisfeer -> afasie (taalgebied ligt in dominante hemisfeer)
Ongeveer 30% van de mensen die een beroerte krijgt, krijgt ook afasie
Stenose van de arterie cerebri anterior
Parese in het contralaterale been
Vaak onhandig handelen van de arm
Stenose van de arterie cerebri posterior
Homonieme hemianopsie
Soms visuele hallucinaties
o Doordat je visuele stoornissen hebt, gaat je brein (vaak) gaan
corrigeren en hierdoor krijg je foutieve informatie om het te zelf
aan te vullen.
Stenose van de arterie basilaris
Totale afsluiting = tetrapleeg
Vaak dwangstand -> persoon kijkt naar gezonde kant van lichaam!
Bewustzijn- en ademhalingsstoornissen -> hersenstam bevloeien
Vaak slechte prognose
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