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vascular lesions and deficits
pg 401 first AID, 2010
15
Medical
Professional
06/09/2011

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Cards

Term
anterior spinal artery
Definition
medial medullary syndrome: contralateral hemparesis (LE), medial lemniscus ( decreased contralateral proprioception), ipsilateral paralysis of hypoglossal nerve
Term
PICA
Definition
lateral medullary syndrome: contralateral loss of pain and temperature, ipsilateral dysphagia, hoarseness, decreased gag reflex, vertigo, diplopia, nystagmus, vomiting, ipsilateral Horner's, ipsilateral facial pain and temperature, trigeminal nucleus (spinal tract and nucleus), ipsilateral ataxia (MCP, ICP)
Term
AICA
Definition
lateral inferior pontine syndrome: ipsilateral facial paralysis, ipsilateral cochlear nucleus, vestibular (nystagmus), ipsilateral facial pain and temp, ipsilateral dystaxia (MCP, ICP)
Term
posterior cerebral artery
Definition
contralateral homonymous hemianopia with macular sparing; supplies occipital cortex
Term
middle cerebral artery
Definition
contralateral face and arm paralysis and sensory loss, aphasia (dominant sphere), L sided neglect
Term
anterior cerebral artery
Definition
supplies medial surface of brain: leg-foot area of motor and sensory cortices
Term
anterior communicating artery
Definition
most common site of circle of Willis aneurysm; lesions --> visual field defects
Term
posterior communicating artery
Definition
common area of aneurysm; CN 3 palsy
Term
lateral striate arteries
Definition
divisions of middle cerebral artery; supply internal capsule, caudate, putamen, globus pallidus. "arteries of stroke"; infarct of posterior limb of internal capsule causes pure motor hemiparesis
Term
watershed zones
Definition
between anterior cerebral/middle cerebral, posterior cerebral/middle cerebral arteries. damage in severe hypotension --> upper leg/upper arm weakness, defects in higher-order visual processing
Term
basilar artery
Definition
infarct causes "locked in syndrome"; CN 3 is typically intact
Term
stroke of anterior Circle of Willis, generalized
Definition
general sensory and motor dysfunction, aphasia
Term
R parietal lesion, MCA
Definition
visual defect: L lower quadrantic anopia
Term
R temporal lesion, MCA
Definition
visual defect: L upper quadrantic anopia
Term
PCA lesion
Definition
visual defect: L hemianopia with macular sparing; macula has bilateral projection to occiput
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