Code Stroke
Matters of the Mind
Neural Wiring
Crossed Wires
Localizing Lesions
100

This imaging modality is the first step in evaluating suspected acute stroke.

Non-contrast CT

100

This mood disorder affects up to one-third of stroke survivors.

Post-stroke depression

100

The corticospinal tract decussates at this structure in the medulla.

Medullary pyramids

100

An upper motor neuron lesion produces this plantar response.

Babinski sign

100

Quadriplegia with preserved consciousness (“locked-in”) results from occlusion of this artery.

Basilar Artery

200

This drug can be given within 4.5 hours of symptom onset to dissolve clots.

tPA or Altepase

200

The loss of independence after stroke often contributes to this emotional state described as “learned helplessness.”

Demoralization

200

The dorsal column–medial lemniscus pathway carries these types of sensations. (3)

Fine touch, vibration, and proprioception

200

A lesion in the facial nerve nucleus causes paralysis of which facial region?

Ispilateral entire face

200

Contralateral leg weakness greater than arm weakness points to this artery.

ACA

300

This endovascular procedure can be performed up to 24 hours after large-vessel occlusion.

Mechanical thrombectomy

300

Family members and caregivers are at risk for this syndrome due to prolonged stress.

Caregiver Burnout

300

This reflex is mediated by the afferent limb CN V and efferent limb CN VII.

Corneal Reflex

300

Damage to the MLF causes this eye movement disorder.

Internuclear ophthalmoplegia (INO)

300

Homonymous hemianopia with macular sparing localizes to this vascular territory.

PCA

400

Before giving thrombolytics, this finding on non-contrast CT immediately rules out treatment.

Intracerebral or subarachnoid hemorrhage

400

Early referral to this interdisciplinary service improves long-term recovery and adaptation.

Rehabilitation/PT-OT-Speech therapy

400

The facial motor nucleus innervates which part of the face bilaterally?

Upper face

400

A lesion of the right hypoglossal nerve causes tongue deviation in which direction?

Towards the right

400

Loss of pain and temperature on ipsilateral face and contralateral body occurs with this brainstem syndrome.

Lateral medullary syndrome (Wallenberg syndrome)

500

Name two secondary prevention strategies after an ischemic stroke.

Anti-platelet therapy, Stop smoking, Statins

500

This term describes difficulty recognizing or adapting to one’s own disability following stroke.

Anosognosia

500

The hypoglossal nerve exits the brainstem at this location.

Medula

500

A left parietal lobe lesion causing spatial neglect produces deficits on which side of the body?

Right side

500

Contralateral face and arm weakness with Broca’s aphasia suggests a stroke in this artery.

Superior division of the left MCA

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