SCRN Exam Review ( Stroke Syndromes)
_____________ syndrome involves the central territory of the PCA. The patient exhibits CN
___________ palsy and contralateral hemipalsy. - correct answer-Weber's ; III (oculomotor -
eye muscles)
A an ischemic stroke is either ___________ or _________. When ________________ the
cause is generally cardiac related. - correct answer-Thrombotic or embolic. Embolic is
generally cardiac related. (Afib)
A Basilar stroke although rare can cause what syndrome (think pons) - correct
answer-Locked in syndrome
A patient is right handed and suffers from a large left vessel occlusion in the internal carotid
artery. Because it is affecting the pts non-dominate sphere, they are most likely to
experience: - correct answer-Neglect
A patient is right handed and suffers from a large Right vessel occlusion in the internal
carotid artery. Because it is affecting the pts dominate sphere, they are most likely to
experience: - correct answer-Aphasia
A patient who suffers from a MCA occlusion may experience
_________________________, or the lack of self awareness. This is most commonly seen
in R parietal strokes. - correct answer-Anosognosia (neglect)
Agraphia - correct answer-loss of ability to express thoughts in writing
Alexia - correct answer-The inability to read or comprehend written
An ischemic stroke in the Internal Carotid artery will result in ___________________ eye
deviation - correct answer-ipsilateral (towards the lesion (same side))
An ischemic stroke in the Internal Carotid artery will result in ___________________ vision
loss, motor & sensory loss in the face, arm, and leg: - correct answer-Contralateral (opposite
side of stroke)
Carotid Artery Dissection may result in ________________ - correct answer-Horner's
Syndrome Miosis : (pupilary constriction); ptosis (eyelip dropping); and anhidrosis
(decreased sweating)
Contralateral sensory and motor loss of the middle cerebral affects: - correct answer-Face,
arm, and leg motor and sensory function.
**Affects ARM more than leg** in other words the pts arm sensory and motor deficits will be
greater.
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