View
6.808
Download
3
Category
Tags:
Preview:
DESCRIPTION
Stroke cases are presented and discussed. Students should be able to analyze the cases as presented, explain why the process is a cerebrovascular event, localize the lesion, determine the etiology of stroke and come up with reasonable approach to further evaluation and management.
Citation preview
STROKE CASE STUDIESPrepared by Arlyn M. Valencia, M.D.
60 year-old right handed WM with h/o HTN, recent MI who had sudden-onset Broca’s aphasia (mute), right central facial paralysis, right pronator drift
70 year-old right handed WF, smoker, has h/o HTN, DM, non-compliant with meds.
PE: left carotid bruit; edema on right arm
NE: awake, alert, with global aphasia, left gaze deviation, no response to visual threat presented on right visual field; right hemiparesis (RUE plegic, RLE 3/5 long-tract pattern of weakness), impaired sensation on the right side
70 year-old WM who had new-onset right-sided weakness, leg weaker than arm, abulia (lack of spontaneity)
69 year-old right-handed BM, brought in by wife who found patient on floor. When asked, patient’s only complaint was headache.
Examination revealed an awake, alert patient with anosognosia; left hemineglect; right gaze preference, inattention to left field; extinction to double simultaneous stimulation (visual and sensory) ; left hemiparesis, arm weaker than leg, left hemisensory deficits
36 year-old right handed, with h/o previous DVT’s, lethargic, right gaze deviation, left hemiplegia, hemisensory, later became comatose with decerebrate posturing, anisocoria (right pupil >left)
Right Middle Cerebral Artery Stroke With Edema And Midline Shift
Posterior Cerebral Artery Infarct
Enjoy Learning!
Recommended