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what symptoms are seen with an MCA stroke?
- contralateral hemiparesis and hemisensory loss, MAINLY UE and face
- motor speech impairment: Broca's/ non-fluent aphasia
- receptive speech impairment: wernicke's/fluent aphasia
- global aphasia: nonfluent speech with poor comprehension
- perceptual deficits: unilateral neglect, depth perception, spatial relations,
agnosia
- limb kinetic apraxia (poor distal coordination/clumsiness)
- contralateral homonymous hemianopsia
- loss of conjugate gaze to the opposite side
- ataxia of contralateral limbs
- pure motor hemiplegia
Do MCA strokes affect mainly the UEs or LEs?
UEs and Face
Do ACA strokes mainly affect LEs or UEs?
LEs
,Hemispheric differences: right side lesion
- left side hemiplegia/paresis
- left side sensory loss
visual-perceptual impairments:
- left side unilateral neglect
- agnosias visuospatial disorders
- disturbances of body image and body scheme
- difficulty processing visual cues
behavior deficits:
- quick, impulsive behavioral style
- poor judgement, unrealistic
- inability to self-correct
- poor insight, awareness of impairments, denial of disability
- Increased safety risk
intellectual deficits
- difficulty w abstract reasoning, problem solving
- difficulty synthesizing information and grasping whole idea of task
- rigidity of thought
- memory impairments, typically related to spatial-perceptual information
emotion deficits:
- difficulty w ability to perceive emotions and expression of negative emotions
task:
- fluctuations in performance
,Hemispheric differences: left side lesion
- right side hemiplegia/paresis
- right side sensory loss
speech and language impairments:
- dominant hemi: nonfluent (broca's) aphasia, fluent (wernicke's) aphasia, global
aphasia
- difficulty processing verbal cues and commands
behavioral deficits:
- slow, cautious behavior
- disorganized
- often very aware of impairments, extent of disability
intellectual deficits:
- disorganized problem solving
- difficulty initiating tasks, processing delays
- highly distractible
- memory impairments, typically related to language
- perseveration
emotional deficits:
- difficulty expressing positive emotions
task performance:
- apraxia common: difficulty planning and sequencing movements
- ideational
- ideomotor
, 3/22/26, 10:58 AM NPTE Final Frontier Stroke, TBI, SCI, & d/d
frontal lobe responsibilities
- motor control (premotor cortex)
- problem solving (prefrontal area)
- speech production (Broca's)
what symptoms are seen with a PCA stroke?
peripheral territory
- contralateral homonymous hemianopsia
- bilateral homonymous hemianopsia
- visual agnosia
- prosopagnosia (difficulty naming people on sight)
- dyslexia without agraphia, color naming, color discrimination
- memory defect
- topographic disorientation
central territory
- central poststroke thalamic pain
- spontaneous pain and dysesthesias
- involuntary movements (choreoathetosis, intention tremor, hemiballismus
- contralateral hemiplegia
- weber's syndrome
- paresis of vertical eye movement, slight miosis and ptosis, and sluggish
pupillary light response
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