Front | Back |
Anterior spinal artery (medial medullary syndrome)
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Contralateral hemiparesis (lower extremities), medial leminiscus (decrease in contralateral proprioception), ipsilateral paralysis of hypoglossal nerve.
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PICA (posterior inferior cerebellar artery) - lateral medullary syndrome - Wallenberg's Syndrome
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Contralateral loss of pain and temperature, ipsilateral dysphagia, hoarseness, decrease in gag reflex, vertigo, diplopoia, nystagmus, vomiting, ipsilateral Horner's, ipsilateral facial pain and temperature, trigeminal nucleus (spinal tract and nucleus), ipsilateral ataxia.
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AICA (Anterior Inferior Cerebellar Artery) - lateral inferior pontine syndrome
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Ipsilateral facial paralysis; ipsilateral cochlear nucleus, vestibular (nystagmus), ipsilateral facial pain and temperature, ipsilateral dystaxia (MCP, ICP)
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Posterior cerebral artery
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Contralateral hemianopia with macular sparing, supplies occipital cortex
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Middle Cerebral Artery
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Contralateral face and arm paralysis and sensory loss, aphasia (dominant sphere), left-sided neglect.
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Anterior cerebral artery
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Supplies medial surface of the brain, leg-foot area of motor and sensory cortices.
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Anterior communicating artery
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Most common site of circle of Willis aneurysm; lesions may cause visual field defects.
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Posterior Communicating artery
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Common area of aneurysm; causes CN III palsy.
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Lateral striate
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Divisions of middle cerebral artery; supply internal capsule, caudate, putamen, globus pallidus. "Arteries of stroke"; infarct of the posterior limb of the internal capsule causes pure motor hemiparesis.
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Watershed zones
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Between anterior cerebral/middle cerebral, posterior/middle cerebral arteries. Damage in severe hypotension -- > upper leg/upper arm weakness, defects in higher-order visual processing.
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Basilar artery
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Infarct causes "locked in syndrome" (CN III is typically intact)
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Stroke of anterior circle (in general)
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General sensory and motor dysfunction, aphasia.
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Stroke of posterior circle (in general)
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Cranial nerve deficits (vertigo, visual deficits), coma, cerebellar deficits (ataxia). Dominant hemisphere (ataxia), non-dominant (neglect).
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