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Calculate Stroke Scores in ED
NIHSS: Ischemic Stroke
Hunt Hess & Fisher: SAH
ICH score: ICH
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1 Posterior Cerebral Artery (PCA) 2 Stroke score
Posterior Inferior Cerebellar Artery
3 Venous Vascular Anatomy 4
(PICA)
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Terms in this set (151)
Posterior Cerebral Artery (PCA) Arises from basilar. Supplies Occipital Lobe ,
Midbrain, Thalamus, Pineal Gland, Choroid Plexus,
and Corpus Callosum
Symptoms of PCA Stroke -Contralateral Visual Field Homonymous
hemianopia
-Visual Agnosia (unable to interpret/recognize
visual information)
- Weber's Syndrome (3rd nerve palsy +
contralateral hemiplegia)
-Parinaud's Syndrome (Impaired upwards gaze,
convergence-retraction nystagmus, primary
conjugate downward gaze)
Anterior Inferior Cerebellar Artery Feeds anterior inferior parts of the cerebellum
(AICA)
Symptoms of AICA Stroke Lateral Pontine Syndrome: vertigo, vomiting,
nystagmus, falling towards the side of the lesion,
ipsilateral loss of sensation to the face, ipsilateral
facial paralysis, ipsilateral hearing loss
Posterior Inferior Cerebellar Artery Feeds cerebellum, superior section of the
(PICA) medulla,. Choroid plexus and fourth ventricle
, Symptoms of PICA Stroke Wallenburg Syndrome (lateral Medullary
Syndrome): Loss of pain and temperature
sensation in the contralateral trunk and ipsilateral
face
Basilar Artery An artery, formed by the fusion of the vertebral
arteries, that supplies blood to the brainstem
(medulla and pons) and to the posterior cerebral
arteries.
Symptoms of Basilar Artery Stoke Coma, quadriparesis, ataxia, dysarthria, CN
dysfunction and visual deficits, Locked in
Syndrome, Intranuclear Opthalmoplegia, gaze
paresis, Millard Gulber Syndrome CN VI VII
damage (diplopia facial weakness, loss of corneal
reflex), Nausea, vomiting, diplopia, gaze palsy,
dysarthria,. vertigo, tinnitus, hemiparesis, and
quadriplegia.
Anterior Cerebral Artery (ACA) Feeds the media portion of the frontal and
parietal lobes as well as the corpus callosum
Symptoms of ACA Stroke Contralateral motor/sensory deficits impacting
legs > arms
Middle Cerebral Artery (MCA) Feeds majority of the frontal, parietal, and
temporal lobes, basal ganglia, internal capsule. It
is divided M1 - M4