Ischemic stroke history and symptoms: Difference between revisions

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==Overview==
==Overview==
==History and Symptoms==
==History and Symptoms==
Detailed history may suggest the underlying cause for ischemic stroke. The symptoms of a stroke are related to the anatomical location of the damage; nature and severity of the symptoms can therefore vary widely
* Detailed history may suggest the underlying cause for ischemic stroke. The symptoms of a stroke are related to the anatomical location of the damage; nature and severity of the symptoms can therefore vary widely
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
{| style="border: 0px; font-size: 90%; margin: 3px;" align="center"
|+  
|+  
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Vessel involved}}
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Vessel involved}}
! style="background: #4479BA; width: 350px;" colspan="1" | {{fontcolor|#FFF|Site of infarction}}
! colspan="1" style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Site of infarction}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|History and symptoms}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|History and symptoms}}
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" rowspan="2" | '''Anterior cerebral artery '''
| rowspan="2" style="padding: 5px 5px; background: #DCDCDC;" | '''Anterior cerebral artery '''
*Rare
*Rare
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Frontal lobe
*Right anterior cerebral artery
:*Frontal cortex,
:*Frontal cortex,
:*Primary motor cortex
:*Primary motor cortex
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*Disorganized thinking
*Disorganized thinking
|-
|-
|style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Left anterior cerebral artery 
*Parietal lobe  
*Parietal lobe  
:*Primary sensory cortex
:*Primary sensory cortex
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |Acute confusional state
 
Hemiparesis
*[[Hemineglect]] (left ACA)
*[[Hemineglect]] (left ACA)
*Behavioral abnormalities
*Behavioral abnormalities
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" rowspan="3" |'''Middle cerebral artery'''
| rowspan="3" style="padding: 5px 5px; background: #DCDCDC;" |'''Middle cerebral artery'''
*Most common site of infarction
*Most common site of infarction
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
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:*Motor cortex (right head, neck and arm)
:*Motor cortex (right head, neck and arm)
:*Sensory cortex (right head, neck and arm)
:*Sensory cortex (right head, neck and arm)
| style="padding: 5px 5px; background: #F5F5F5;" |  
| style="padding: 5px 5px; background: #F5F5F5;" |  
*Right arm and facial weakness  
*Right arm and facial weakness  
*[[Hemineglect]]
*[[Hemineglect]]
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:*[[Globus pallidus]]
:*[[Globus pallidus]]
:*[[Internal capsule]] (anterior limb and genu)
:*[[Internal capsule]] (anterior limb and genu)
| style="padding: 5px 5px; background: #F5F5F5;" |  
| style="padding: 5px 5px; background: #F5F5F5;" |  
*Pure upper motor weakness  
*Pure upper motor weakness  
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" rowspan="2" | '''[[Posterior cerebral artery]]'''
| rowspan="2" style="padding: 5px 5px; background: #DCDCDC;" | '''[[Posterior cerebral artery]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Superficial branch
*Superficial branch
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*[[Alexia]] without [[agraphia]].
*[[Alexia]] without [[agraphia]].
|-
|-
|style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Deep branch
*Deep branch
:*[[Thalamus]]  
:*[[Thalamus]]  
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*Hemiparesis  
*Hemiparesis  
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" rowspan="6" | '''Vertebrobasilar artery'''
| rowspan="6" style="padding: 5px 5px; background: #DCDCDC;" | '''Vertebrobasilar artery'''
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*[[Midbrain]]
*[[Midbrain]]

Revision as of 14:03, 10 November 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

History and Symptoms

  • Detailed history may suggest the underlying cause for ischemic stroke. The symptoms of a stroke are related to the anatomical location of the damage; nature and severity of the symptoms can therefore vary widely
Vessel involved Site of infarction History and symptoms
Anterior cerebral artery
  • Rare
  • Right anterior cerebral artery
  • Frontal cortex,
  • Primary motor cortex
  • Motor weakness of opposite foot and leg
  • Sensory loss over foot, toes and leg on the same side of lesion
  • Urinary incontinence
  • Transcortical aphasia
  • Abulia
  • Contralateral grasp and sucking reflex
  • Disorganized thinking
  • Left anterior cerebral artery
  • Parietal lobe
  • Primary sensory cortex
 Acute confusional state

Hemiparesis

Middle cerebral artery
  • Most common site of infarction
  • Right superficial division (RSD)
  • Motor cortex (left head,neck and arm)
  • Sensory cortex (left head, trunk and arm)
  • Left superficial division (LSD)
  • Broca's area (expressive speech area)
  • Wernick's area (receptive speech area)
  • Motor cortex (right head, neck and arm)
  • Sensory cortex (right head, neck and arm)
  • Lenticulostriate branches
  • Pure upper motor weakness
Posterior cerebral artery
  • Superficial branch
  • Deep branch
  • Thalamus
  • Internal capsule (posterior limb)
  • Hemisensory loss
  • Hemiparesis
Vertebrobasilar artery
  • Difficulty maintaining balance
  • Vertigo
  • Nausea
  • Vomiting
  • Tremors
  • Thalamus
  • Occipital cortex

References

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