Ischemic stroke history and symptoms: Difference between revisions
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*Most common site of infarction | *Most common site of infarction | ||
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*Right superficial division (RSD) | *'''Right superficial division (RSD)''' | ||
:*Motor cortex (left head,neck and arm) | :*Motor cortex (left head,neck and arm) | ||
:*Sensory cortex (left head, trunk and arm) | :*Sensory cortex (left head, trunk and arm) | ||
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*Left superficial division (LSD) | *'''Left superficial division (LSD)''' | ||
:*[[Broca's area]] (expressive speech area)<ref name="pmid25016386">{{cite journal| author=Fridriksson J, Fillmore P, Guo D, Rorden C| title=Chronic Broca's Aphasia Is Caused by Damage to Broca's and Wernicke's Areas. | journal=Cereb Cortex | year= 2015 | volume= 25 | issue= 12 | pages= 4689-96 | pmid=25016386 | doi=10.1093/cercor/bhu152 | pmc=4669036 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25016386 }} </ref><ref name="pmid4062622">{{cite journal| author=Henderson VW| title=Lesion localization in Broca's aphasia. Implications from Broca's aphasia without hemiparesis. | journal=Arch Neurol | year= 1985 | volume= 42 | issue= 12 | pages= 1210-2 | pmid=4062622 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4062622 }} </ref> | :*[[Broca's area]] (expressive speech area)<ref name="pmid25016386">{{cite journal| author=Fridriksson J, Fillmore P, Guo D, Rorden C| title=Chronic Broca's Aphasia Is Caused by Damage to Broca's and Wernicke's Areas. | journal=Cereb Cortex | year= 2015 | volume= 25 | issue= 12 | pages= 4689-96 | pmid=25016386 | doi=10.1093/cercor/bhu152 | pmc=4669036 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25016386 }} </ref><ref name="pmid4062622">{{cite journal| author=Henderson VW| title=Lesion localization in Broca's aphasia. Implications from Broca's aphasia without hemiparesis. | journal=Arch Neurol | year= 1985 | volume= 42 | issue= 12 | pages= 1210-2 | pmid=4062622 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4062622 }} </ref> | ||
:*[[Wernicke's area]] (receptive speech area) | :*[[Wernicke's area]] (receptive speech area) | ||
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*[[Lenticulostriate artery|Lenticulostriate]] branches<ref name="pmid11843697">{{cite journal| author=Bang OY, Heo JH, Kim JY, Park JH, Huh K| title=Middle cerebral artery stenosis is a major clinical determinant in striatocapsular small, deep infarction. | journal=Arch Neurol | year= 2002 | volume= 59 | issue= 2 | pages= 259-63 | pmid=11843697 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11843697 }} </ref><ref name="pmid1709298">{{cite journal| author=Ghika J, Bogousslavsky J, Regli F| title=Infarcts in the territory of lenticulostriate branches from the middle cerebral artery. Etiological factors and clinical features in 65 cases. | journal=Schweiz Arch Neurol Psychiatr (1985) | year= 1991 | volume= 142 | issue= 1 | pages= 5-18 | pmid=1709298 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1709298 }} </ref> | *[[Lenticulostriate artery|'''Lenticulostriate''']] '''branches'''<ref name="pmid11843697">{{cite journal| author=Bang OY, Heo JH, Kim JY, Park JH, Huh K| title=Middle cerebral artery stenosis is a major clinical determinant in striatocapsular small, deep infarction. | journal=Arch Neurol | year= 2002 | volume= 59 | issue= 2 | pages= 259-63 | pmid=11843697 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11843697 }} </ref><ref name="pmid1709298">{{cite journal| author=Ghika J, Bogousslavsky J, Regli F| title=Infarcts in the territory of lenticulostriate branches from the middle cerebral artery. Etiological factors and clinical features in 65 cases. | journal=Schweiz Arch Neurol Psychiatr (1985) | year= 1991 | volume= 142 | issue= 1 | pages= 5-18 | pmid=1709298 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1709298 }} </ref> | ||
:*Striatum ([[Caudate nucleus|caudate]] and [[putamen]]) | :*Striatum ([[Caudate nucleus|caudate]] and [[putamen]]) | ||
:*[[Globus pallidus]] | :*[[Globus pallidus]] | ||
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| rowspan="2" style="padding: 5px 5px; background: #DCDCDC;" | '''[[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;" | | ||
*Cortical branches | *'''Cortical branches''' | ||
:*Occipital cortex | :*Occipital cortex | ||
:*Splenium of [[corpus callosum]] | :*Splenium of [[corpus callosum]] | ||
:*[[Hippocampus]] | :*[[Hippocampus]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" |Right PCA | | style="padding: 5px 5px; background: #F5F5F5;" |'''Right PCA''' | ||
*Unilateral headaches | *Unilateral headaches | ||
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*[[Prosopagnosia]] | *[[Prosopagnosia]] | ||
*[[Anomic aphasia]] | *[[Anomic aphasia]] | ||
*Left PCA | *'''Left PCA''' | ||
*[[Alexia]] without [[agraphia]] | *[[Alexia]] without [[agraphia]] | ||
*[[Homonymous hemianopsia|Contralateral right homonymous hemianopsia]] | *[[Homonymous hemianopsia|Contralateral right homonymous hemianopsia]] | ||
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|- | |- | ||
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*Ganglionic branches | *'''Ganglionic branches''' | ||
:*[[Thalamus]] | :*[[Thalamus]] | ||
:*[[Subthalamus]] | :*[[Subthalamus]] |
Revision as of 17:27, 10 November 2016
Ischemic Stroke Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Ischemic stroke history and symptoms On the Web |
American Roentgen Ray Society Images of Ischemic stroke history and symptoms |
Risk calculators and risk factors for Ischemic stroke history and symptoms |
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 [1][2]
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Superficial branch |
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Deep branches (medial lenticulostriate, Heubner's artery)[4][5]
|
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Middle cerebral artery[7]
|
|
|
|
| |
|
Classical lacunar syndromes[13][14][15]
| |
Posterior cerebral artery |
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Right PCA
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Vertebrobasilar artery | ||
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References
- ↑ 1.0 1.1 1.2 Nagaratnam N, Davies D, Chen E (1998). "Clinical effects of anterior cerebral artery infarction". J Stroke Cerebrovasc Dis. 7 (6): 391–7. PMID 17895117.
- ↑ 2.0 2.1 2.2 2.3 Kumral E, Bayulkem G, Evyapan D, Yunten N (2002). "Spectrum of anterior cerebral artery territory infarction: clinical and MRI findings". Eur J Neurol. 9 (6): 615–24. PMID 12453077.
- ↑ 3.0 3.1 Alexander MP, Schmitt MA (1980). "The aphasia syndrome of stroke in the left anterior cerebral artery territory". Arch Neurol. 37 (2): 97–100. PMID 7356415.
- ↑ 4.0 4.1 4.2 den Heijer T, Ruitenberg A, Bakker J, Hertzberger L, Kerkhoff H (2007). "Neurological picture. Bilateral caudate nucleus infarction associated with variant in circle of Willis". J Neurol Neurosurg Psychiatry. 78 (11): 1175. doi:10.1136/jnnp.2006.112656. PMC 2117617. PMID 17940169.
- ↑ 5.0 5.1 Mendez MF, Adams NL, Lewandowski KS (1989). "Neurobehavioral changes associated with caudate lesions". Neurology. 39 (3): 349–54. PMID 2927642.
- ↑ 6.0 6.1 Mizuta H, Motomura N (2006). "Memory dysfunction in caudate infarction caused by Heubner's recurring artery occlusion". Brain Cogn. 61 (2): 133–8. doi:10.1016/j.bandc.2005.11.002. PMID 16510225.
- ↑ Lemieux F, Lanthier S, Chevrier MC, Gioia L, Rouleau I, Cereda C; et al. (2012). "Insular ischemic stroke: clinical presentation and outcome". Cerebrovasc Dis Extra. 2 (1): 80–7. doi:10.1159/000343177. PMC 3492997. PMID 23139684.
- ↑ 8.0 8.1 Fridriksson J, Fillmore P, Guo D, Rorden C (2015). "Chronic Broca's Aphasia Is Caused by Damage to Broca's and Wernicke's Areas". Cereb Cortex. 25 (12): 4689–96. doi:10.1093/cercor/bhu152. PMC 4669036. PMID 25016386.
- ↑ 9.0 9.1 Henderson VW (1985). "Lesion localization in Broca's aphasia. Implications from Broca's aphasia without hemiparesis". Arch Neurol. 42 (12): 1210–2. PMID 4062622.
- ↑ 10.0 10.1 Soma Y (1997). "[Cerebrovascular disorder and the language areas]". Rinsho Shinkeigaku. 37 (12): 1117–9. PMID 9577663.
- ↑ Bang OY, Heo JH, Kim JY, Park JH, Huh K (2002). "Middle cerebral artery stenosis is a major clinical determinant in striatocapsular small, deep infarction". Arch Neurol. 59 (2): 259–63. PMID 11843697.
- ↑ Ghika J, Bogousslavsky J, Regli F (1991). "Infarcts in the territory of lenticulostriate branches from the middle cerebral artery. Etiological factors and clinical features in 65 cases". Schweiz Arch Neurol Psychiatr (1985). 142 (1): 5–18. PMID 1709298.
- ↑ Arboix A, Martí-Vilalta JL (2009). "Lacunar stroke". Expert Rev Neurother. 9 (2): 179–96. doi:10.1586/14737175.9.2.179. PMID 19210194.
- ↑ Melo TP, Bogousslavsky J, van Melle G, Regli F (1992). "Pure motor stroke: a reappraisal". Neurology. 42 (4): 789–95. PMID 1565233.
- ↑ Tei H, Uchiyama S, Maruyama S (1993). "Capsular infarcts: location, size and etiology of pure motor hemiparesis, sensorimotor stroke and ataxic hemiparesis". Acta Neurol Scand. 88 (4): 264–8. PMID 8256570.