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Cranial syndromes

brainstem lesions

QuestionAnswer
Ataxic Hemiparesis vasculature Paramedian branches of basilar artery, ventral territory
Ataxic hemiparesis neural structures corticospinal/corticobulbar tracts (contralateral face, arm, and leg weakness, dystaria), Pontine nuclei and pontocerebellar fibers (contralateral ataxia)
AICA Syndrome vasculature AICA
AICA Syndrome neural structures Middle Cerebellar peduncle(ipsilateral ataxia),Vestibular nuclei(vertigo, nystagmus)Trigeminal nucelei(ipsilateral facial pain temp), spinothalamic tract (contralateral body pain and temp sensations), descending sympathetic fibers (ipsilateral Horners)
Weber's vasculature Branches of PCA and Top of basilar artery
Weber's neural structures Oculomotor nerve fascicles (ipsilateral CN3 palsy)
Claude's vasculature Braches of the PCA and Top of basilar artery
Claude's neural structures Oculomotor nerve fascicles (ipsilateral CN3 palsy), Red nucleus/superior cerebellar peduncle fibers (contralteral ataxia)
Medial medullary vasculature Occlusions of paramedian branches of the anterior spinal or vertebral arteries
Medial medullary neural structures Upper motor neurons (contralaters arm/leg weakness), CN12 (ipsilateral tongue weakness), Medial lemniscus (contralaeral vibration/joint positions vibrations)
Lateral Medullary vasculature (wallenberg's) Thrombosis of vertebral artery (or sometimes PICA)
Lateral meduallary (wallenburgs) neural structures Nucleus amibiguus (hoarsness/dysphagia), Nucleus solitarius (ipsilateral decrease in taste), inferior cerebral peduncle, vestibular nuclei, spinal trigeminal nuclei, spinalthalamic tract, descending symp fibers
Dysarthia hemiparesis vasculature Paramedium branches of the basilar artery, ventral territory
Dysarthia hemiparesis neural structures corticospinal and corticobulbar tracts (contralateral face, arm, leg weaknes and dysarthia)
Wallenberg location lateral medulla
Medial Medullary syndrome location medial medulla
AICA location lateral pons
Dysarthria Hemiparesis location medial pons
Weber's location lateral midbrain (basis)
Claude's location medial midbrain (tegmentum)
Syndrome mnemonic Can Wash Dishes After Morris Wiman (Midbrain to meduall, medial lateral alternating)
Created by: mcasto