Neuro - Stroke Syndromes

contralateral hemiplegia and sensory loss of lower face, arm, hand; contralateral homonymous hemianopia; ± aphasia w/ right-sided deficits (in left-sided stroke) or unilateral neglect w/ left-sided deficits (in right-sided stroke); contralateral sensory/motor loss/hemiparesis face, arm > leg/foot; contralateral homonymous hemianopsia (gaze preference toward side of lesion); dominant hemisphere (usually left): aphasia, math comprehension deficits, agraphic; nondominant hemisphere (usually right): spatial deficits, dysarthria, left-side neglect, anosognosia, apraxia

contralateral leg weakness and sensory loss; contralateral sensory/motor loss/hemiparesis leg/foot> upper extremity (face spared); gait abnormality, impaired judgement, confusion, flat affect, urinary incontinence, speech preservation, slow responses

contralateral homonymous hemianopia; visual hallucinations, contralateral homonymous hemianopsia, “crossed sx” (ipsilateral CN deficits + contralateral muscle weakness), coma, drop attachs

imbalance, ataxia, poor coordination

hemiparesis, quadriplegia, sensory loss of hemibody or all extremities, double vision, dysconjugate gaze, slurred speech, impaired swallowing, AMS, abnormal respirations

visual neglect of the left; left hemiparesis, sensory loss, L sided neglect, anosognosia, left homonymous hemianopsia, apraxia, dysarthria, spatial/time deficits, flat affect, impaired judgement, impulsivity

aphasia; right hemiparesis, right sensory loss, R homonymous hemianopsia, dysarthria, aphasia, agraphia, decreased math comprehension

pure motor MC (hemiparesis, hemiplegia), ataxic hemiparesis and clumsiness leg > arm, dysarthria (clumsy hand syndrome); pure sensory loss (numbness, paresthesias)

cerebellar dysfunction, CN palsy, decreased vision, decreased sensory fxn bilaterally

vertigo, nystagmus, N/V, diplopia, ipsilateral ataxia

arteries involved include anterior cerebral and middle cerebral arteries

arteries involved include posterior cerebral, basilar, and vertebral arteries