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CVA deficits/region

Stroke deficits by region of lesion

QuestionAnswer
Contralateral hemiparesis and hemisensory loss involving primarily LE ACA Medial motor and sensory homonculi
Urinary incontinence ACA posteromedial aspect of superior frontal gyrus
Problems with imitation and bimanual apraxia ACA Corpus callosum
Contralateral hemiparesis and hemisensory loss involving primarily UE MCA Lateral motor and sensory homonculi
Broca's (speech producung) aphasia MCA frontal lobe of dominant hemisphere
Wernikes (receptive) aphasia MCA Temporal lobe of dominant hemisphere.
Global aphasia MCA Frontal and temporal lobes of dominant hemisphere
Perceptial deficits: hemineglect, spatial relations depth perception... MCA Parietal lobe of non dominant hemisphere
Contralateral Homonymous hemianopsia MCA optic radiation in the internal capsule --OR-- PCA primary visual cortex or optic radiation.
Bilateral homonymous Hemianopsia PCA Primary visual Calcarine cortex
Visual agnosia PCA left occipital
Prosopagnosia PCA visual association cortex
Central post stroke pain PCA VPL of thalamus
Oculomotor nerve palsy PCA CN3
Paralysis and atrophy of half the tongue, deviation to the paralysed side. Vertebrobasilar CNXII
Impaired proprioceptive response. Vertebrobasilar Medial lemniscus
Decreased pain and sensation to face. Vertebrobasilar Bulbar Tract to CN5
Cerebellar ataxia: gait and limbs ataxia. Vertebrobasilar Cerebellum of cerebellar peduncles
Vertigo, nausia, nystagmus Vertebrobasilar Vestibular nuclei
Dysphagia, dysphonia, paralysis of pharynx and larynx. Vertebrobasilar CN 9 or 10
locked in syndrome Vertebrobasilar basilar artery at ventral pons
Diploplia or lateral gaze Vertebrobasilar CN6
facial paralysis Vertebrobasilar CN7
Deafness or tinnitus Vertebrobasilar CN8
Impaired pain and thermal sense Vertebrobasilar Spinothalamic tract
Horners syndrome Vertebrobasilar Sescending sympathetic fibres
Created by: jcbraith
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