SCRN Exam Review (Stroke Syndromes) Exam

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: - Answer- Aphasia 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: - Answer- Neglect An ischemic stroke in the Internal Carotid artery will result in ___________________ vision loss, motor & sensory loss in the face, arm, and leg: - Answer- Contralateral (opposite side of stroke) An ischemic stroke in the Internal Carotid artery will result in ___________________ eye deviation - Answer- ipsilateral (towards the lesion (same side)) The ___________ artery extends off of the internal carotid artery and thus if occluded may cause monocular blindness - Answer- ophthalmic artery A an ischemic stroke is either ___________ or _________. When ________________ the cause is generally cardiac related. - Answer- Thrombotic or embolic. Embolic is generally cardiac related. (Afib) Carotid Artery Dissection may result in ________________ - Answer- Horner's Syndrome Miosis : (pupilary constriction); ptosis (eyelip dropping); and anhidrosis (decreased sweating) If the dominate side of the middle cerebral artery is occluded, the pt may suffer from: - Answer- Aphasia If non-dominate side of the middle cerebral artery is occluded, the pt may suffer from: - Answer- Neglect Contralateral sensory and motor loss of the middle cerebral affects: - 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. 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. - Answer- Anosognosia (neglect) In an anterior cerebral artery occlusion, the ___________(body part) suffers the greatest sensory and motor deficit. - Answer- Leg