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Strokes types and symptoms

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This comprehensive guide breaks down the types of strokes—ischemic, hemorrhagic, and transient ischemic attack (TIA)—and their associated signs and symptoms. It covers risk factors, pathophysiology, FAST assessment, diagnostic procedures, and emergency nursing interventions. Designed for NCLEX prep, medical-surgical nursing, and clinical rotations, this resource helps learners quickly identify stroke presentations and respond with timely, evidence-based care.

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Institution
Healthcare Nursing
Course
Healthcare nursing

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Strokes types and symptoms
Cerebral Cortex (Cortical Stroke): Can affect higher functions like language, cognition, or sensory
processing.

Specific subtypes: Left Hemisphere Stroke: Affects speech (Broca's or Wernicke's areas),
language, and right-side motor function.

Right Hemisphere Stroke: Affects spatial perception, attention, and left-side motor function.



Lacunar Stroke - Definition: Small, deep strokes affecting small arteries. Often occurs in the
basal ganglia, thalamus, or pons and can lead to:

Motor or Sensory Stroke: Affects specific motor or sensory pathways without higher cognitive
impairments.

Ataxic Hemiparesis: Weakness and lack of coordination.



Middle Cerebral Artery (MCA) Stroke - Definition: The most common location for ischemic
strokes, affecting a large portion of the brain, including the motor and sensory cortices.

Symptoms: Contralateral weakness (hemiparesis), sensory loss, and if in the dominant
hemisphere, aphasia (language deficits).



Posterior Cerebral Artery (PCA) Stroke - Definition: Affects the occipital lobe and temporal lobe,
parts of the visual and memory-processing systems.

Symptoms: Visual field defects (e.g., homonymous hemianopia), memory impairment, and
difficulty recognizing faces (prosopagnosia).



Thalamic Stroke - Definition: Involves the thalamus, a relay center for sensory and motor
signals.

Symptoms: Loss of sensation, pain syndromes (thalamic pain syndrome), and difficulty with
coordination or movement.

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