Clinical features of stroke

Anterior Circulation Large Vessel Strokes
1. Total Anterior Circulation Stroke (TACS)
  1. Dense Flaccid Hemiparesis- Face, arm & leg
  2. Homonymous Hemianopia
  3. Dominant- Complete Aphasia
  4. Non-dominant- Inattention/Neglect
  5. Intermittent Dysarthria and Dysphagia
  6. Incontinence
2. Partial Anterior Circulation Stroke (PACS)
  1. Inferior MCA Branch
    1. Hemianopia
    2. Dominant- Wernicke's Aphasia
    3. Non-dominant- Construction Apraxia
  2. Superior MCA Branch
    1. Hemiparesis
    2. Dominant- Broca's Aphasia
    3. Non-dominant- Neglect
  3. ACA Infarct
    1. Hemiparesis
    2. Apathy
    3. Incontinence
    4. Dominant- Mixed Aphasia
    5. Non-dominant- dyspraxia
Posterior circulation stroke
1. Large Vessel Syndromes
  1. Contralateral Homonymous Hemianopia
  2. Contralateral Hemisensory Loss
  3. Disturbance of Higher Function
    1. Altered Memory or Speech
    2. Cortical Blindness
  4. Occlusion of Basilar Artery
    1. 'Locked In' States
      1. Loss of control over bulbar function and quadraplegia
2. Other Posterior Circulation Strokes
  1. Cerebral Signs
  2. Brain Stem Lsesion
    1. Nystagmus
    2. Dysarthria
    3. Diplopia
Small Vessel Lacunar Stroke
1. Lacunar syndromes
  1. Sensorimotor Stroke
  2. Pure Sensory Stroke
    1. Hemisensoty loss of superficial sensation
    2. Thalamic lesions
  3. Dysarthria/Clumsy Hand Syndrome
    1. Hand Clumsiness on the same side
    2. Dysarthria with Tongue, Facial Weakness
  4. Ataxic Hemiparesis
    1. Motor Hemiparesis
    2. Cerebellar type Ataxix
    3. Posterior Internal Capsule/ Midbrain/Pons
  5. Pure Motor Hemiparesis
    1. Face, arm & Leg Weakness
    2. Internal Capsule
Intracerebral haemorrhage
1. All features plus signs of raised Intracranial Pressure
  1. Headache
  2. Vomiting
  3. Reduced level of conciouness

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Clinical features of stroke

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	Created by anne_oshin over 11 years ago