stroke

Question 1

Contralateral hemiparesis and sensory loss, lower extremity > upper

Answer 1

ACA

Question 2

Contralateral hemiparesis and sensory loss, upper extremity > lower
Contralateral homonymous hemianopia
Aphasia

Answer 2

MCS

Question 3

Contralateral homonymous hemianopia with macular sparing
Visual agnosia

Answer 3

PCA

Question 4

Ipsilateral CN III palsy
Contralateral weakness of upper and lower extremity

Answer 4

Weber’s syndrome (branches of the posterior cerebral artery that supply the midbrain)

Question 5

Ipsilateral: facial pain and temperature loss
Contralateral: limb/torso pain and temperature loss
Ataxia, nystagmus

Answer 5

Posterior inferior cerebellar artery (lateral medullary syndrome, Wallenberg syndrome)

Question 6

Ipsilateral: facial pain and temperature loss
Contralateral: limb/torso pain and temperature loss
Ataxia, nystagmus
+ IPSILATERAL FACIAL PARALYSIS AND DEAFNESS

Answer 6

AICA - LATERAL PONTINE SYNDROME

Question 7

Amaurosis fugax

Answer 7

retinal/ optjalmic artery

Question 8

basilar artery

Answer 8

locked in syndrome

Question 9

launar sroke

Answer 9

• present with either isolated hemiparesis, hemisensory loss or hemiparesis with limb ataxia
• strong association with hypertension
• common sites include the basal ganglia, thalamus and internal capsule

Question 10

TACI

Answer 10

All 3:

• unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
  2. homonymous hemianopia
  3. higher cognitive dysfunction e.g. dysphasia

Question 11

paci

Answer 11

• involves smaller arteries of anterior circulation e.g. upper or lower division of middle cerebral artery
• 2 of:
  1. unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
  2. homonymous hemianopia
  3. higher cognitive dysfunction e.g. dysphasia

Question 12

Lacunar presents with 1 of the following:

Answer 12

1. unilateral weakness (and/or sensory deficit) of face and arm, arm and leg or all three.
2. pure sensory stroke.
3. ataxic hemiparesis

Question 13

PACI

Answer 13

involves vertebrobasilar arteries
presents with 1 of the following:
1. cerebellar or brainstem syndromes
2. loss of consciousness
3. isolated homonymous hemianopia