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Stroke and arteries

CVA and different arteries

QuestionAnswer
Middle Cerebral Artery Most commonly involved, contralateral hemiplegia, mostly UE involvement, loss of sensation primarily in face and arms, Wernicke's aphasia in dominant hemisphere. Infarction may produce aphasia and apraxia. Homonymous hemianopsia common.
Anterior Cerebral Artery Rarely involved, Contralateral hemiplegia and sensory loss, LE more frequently affected. Can result in mental confusion, aphasia, and contralateral neglect, Loss of bowel and bladder control, apraxia
Posterior Cerebral Artery Persistent pain syndrome or contralateral pain and temperature sensory loss can occur, contralateral hemiplegia. Homonymous hemianopsia, aphasia, and thalamic pain syndrome can also result from occlusion of artery.
Vertebral Basilar Artery Often results in death from edema. If lesion is in the pons, can result in "locked in" state. Other vertebral symp can include coma, vertigo, diplopia, nausea, dysphagia, ataxia, Loss of consciousness, hemiplegia or tetraplegia.
Anterior Inferior Cerebellar Artery Unilateral deafness, loss of pain and temperature on the contralateral side, paresis of lateral gaze, unilateral Horner's syndrome, plus ataxia, vertigo, and nystagmus.
Superior Cerebellar Artery Severe ataxia, dysarthria, dysmetria, finger-to-nose test, contralateral loss of pain and temperature.
Posterior Inferior Cerebellar Artery Wallenberg's Syndrome: vertigo, nausea, hoarseness, dysphagia, ptosis, and decreased impairment of sensation in ipsilateral face and contralateral torso and limbs. Horner's syndrome might also appear.
Created by: cdesai