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Stroke deficits by region of lesion

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