Localization
Diagnosis
Management
Terminologies
Must-Knows
100

This brain region is most commonly affected in hypertensive intracerebral hemorrhage, producing contralateral hemiparesis.

Putamen (basal ganglia)

100

A clinical scoring system used to quantify the severity of stroke on neurologic examination.

 NIH Stroke Scale (NIHSS)

100

Blood pressure is often permissively elevated during acute ischemic stroke to maintain this physiologic process.

Cerebral perfusion

100

Difficulty articulating speech due to motor impairment of speech muscles.

Dysarthria

100

This reflex commonly becomes hyperactive after an upper motor neuron lesion such as stroke.

Deep tendon reflex

200

A lesion in this nuclei of the thalamus produces numbness of the face, arm, and leg.

Ventroposterior Lateral (VPL) nuclei

200

This ultrasound-based test is commonly used to evaluate carotid artery stenosis.

Carotid Doppler ultrasound

200

The preferred long-term therapy for stroke prevention in patients with atrial fibrillation.

Anticoagulation

200

Difficulty swallowing commonly seen in brainstem strokes.

Dysphagia

200

The brain tissue surrounding an infarct that is ischemic but potentially salvageable is called this.

Ischemic penumbra

300

A patient with inability to look voluntarily to the right and right-sided weakness likely has a lesion in this cerebral lobe.

Left Frontal lobe

300

A vascular imaging study that uses contrast injected into arteries to visualize cerebral vessels and aneurysms.

Cerebral angiography (digital subtraction angiography)

300

This surgical procedure removes plaque from the carotid artery to reduce stroke risk in selected patients.

Carotid endarterectomy

300

Loss of the ability to perform learned purposeful movements despite intact strength and comprehension.

Apraxia

300

The pathologic vascular change in chronic hypertension characterized by degeneration of small penetrating arteries.

Lipohyalinosis

400

Loss of proprioception and vibration on the contralateral body with preserved pain and temperature suggests a lesion of this brainstem structure.

Medial lemniscus

400

A stroke caused by emboli arising from the heart, often seen in patients with atrial fibrillation, is classified as this stroke subtype.

Cardioembolic stroke

400

This life-saving neurosurgical procedure may be performed for malignant MCA infarction with severe cerebral edema.

Decompressive hemicraniectomy

400

Impaired ability to understand spoken or written language.

Receptive aphasia (Wernicke aphasia)

400

Rebleeding and vasospasm are major complications occurring after this type of hemorrhagic stroke.

Subarachnoid hemorrhage

500

Ipsilateral oculomotor nerve palsy and contralateral hemiparesis localizes to this brainstem structure.

Ventromedial midbrain

500

This cardiac abnormality can allow paradoxical embolism from the venous system to the arterial circulation.

Patent foramen ovale (PFO)

500

This is the standard IV dose of alteplase (rtPA) for acute ischemic stroke.

0.9 mg/kg

500

Complete inability to speak due to severe bilateral frontal lobe lesions affecting speech production.

Akinetic mutism

500

A transient neurologic deficit caused by focal ischemia without infarction is called this.

Transient ischemic attack (TIA)