Large
Right dorsiflexion weakness, intact right arm strength and intact cognition are symptoms of this stroke syndrome
What is the left anterior cerebral artery?
A patient has complete paralysis of the body and face, with preservation of the reticular activating system. He maintains superior and inferior eye gaze. He has symptoms of this stroke.
What are bilateral ventral pontine infarcts (locked-in syndrome)?
This is the most significant non-modifiable risk factor for stroke
What is age?
These 2 head images are the mainstays of the initial/immediate stroke evaluation
What are CT head and CT angiogram of head and neck?
A 60yo female has 0/5 strength on the right lower extremity and is MaxA x2 for transfers. You order this device to maintain ankle ROM during her recovery.
What is a PRAFO?
Symptoms of this large artery occlusion include left sided weakness and sensory loss, right gaze deviation and left hemineglect
What is the right middle cerebral artery?
Symptoms of this stroke are loss of pain and temperature sensation of the right side of the face and left side of the body as well as right eye ptosis, myosis and nystagmus
What is a right posterior inferior cerebellar artery infarct (Wallenberg syndrome)?
This is the most significant modifiable risk factor for stroke
What is hypertension?
This scale of neurologic deficits is a key component of the stroke evaluation, in addition to a clear history.
What is the NIH Stroke Scale?
The Brunnstrom Stages of Recovery use this symptom of neurologic recovery to guide treatment
What is spasticity?
A patient with a large left middle cerebral artery has these 4 main symptoms
What are:
right hemiplegia
right homonymous hemianopsia
left gaze deviation
global aphasia?
Weber’s syndrome presents as contralateral hemiplegia, contralateral ataxia and ipsilateral cranial nerve III palsy. Is is caused by infarct of this artery at the level of the midbrain
What is the posterior cerebral artery?
Stroke is the ___ leading cause of death in the United States as of 2023
What is the 4th?
A 70yo with this NIHSS can receive IV thrombolytics up to 4.5 hours after symptom onset
What is an NIHSS of 25 or less?
Your patient with a stroke and left hemiparesis has low motivation, decreased oral intake, and difficulty sleeping. You start this class of medications to address their symptoms
What is an SSRI?
A 67yo female with HTN and DM presents with 2 hours of sudden dizziness, nausea, vomiting and loss of balance. She may have one of these 3 large vessel occlusions
What is the vertebral artery, posterior inferior cerebellar artery or anterior inferior cerebellar artery?
Infarct of the red nucleus and tegmentum of the midbrain is known as this syndrome
What is Benedikt Syndrome?
Between 80-90% of strokes are this type of stroke.
What is ischemic?
Intravenous thrombolytics are not recommended in any patient this time after symptom onset
What is 4.5 hours?
A patient has a Modified Rankin Scale level is 3, indicating this level of disability.
What is moderate disability?
A 74yo male with CAD, HTN and tobacco use presents 1 hour after feeling suddenly weak on the left side of his body. On exam he has full strength throughout the left side. These symptoms are concerning for this condition due to stenosis of this artery
TIA due to stenosis of the right internal carotid artery
Millard Gubler syndrome is caused by infarct at the base of the pons. These symptoms are part of the syndrome
Ipsilateral Abducens and Facial nerve palsies
Contralateral hemiplegia, pain and temperature loss
These are modifiable risk factors for stroke. (Name 5)
What are hypertension, Heart disease, Atrial fibrillation, Diabetes, Tobacco use, Carotid stenosis, Alcohol/cocaine use, High dose Estrogen, Systemic hypercoagulability, Hyperlipidemia, Sleep apnea, Patent foramen ovale, or TIA/prior stroke?
After a mechanical thrombectomy, there is complete refilling of the vascular territory with slower than normal flow. This indicates a TICI score of this
What is TICI 2b?
This rehabilitation theory uses cutaneous stimulation and proprioceptive maneuvers to promote neural connections
What is Rood Theory?