Stroke Syndromes and Treatment Quiz
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Questions and Answers

In the context of the Anterior Cerebral Artery Syndrome, what is the primary area of the brain affected, leading to contralateral paralysis?

  • Postcentral gyrus
  • Occipital lobe
  • Precentral gyrus (correct)
  • Temporal lobe
  • What is the primary symptom associated with the Middle Cerebral Artery Syndrome, resulting from occlusion of the main trunk of the artery?

  • Contralateral hemiplegia, predominantly affecting the upper extremities and face (correct)
  • Impaired sensation in the legs
  • Bilateral paralysis
  • Contralateral homonymous hemianopia
  • Which of the following is NOT a symptom associated with the Posterior Cerebral Artery Syndrome?

  • Visual field deficits
  • Impaired spatial awareness
  • Contralateral homonymous hemianopia
  • Aphasia (correct)
  • If a patient exhibits contralateral paralysis primarily affecting the leg, which artery is most likely affected based on the information provided?

    <p>Anterior Cerebral Artery (D)</p> Signup and view all the answers

    Damage to the postcentral gyrus, as seen in the Anterior Cerebral Artery Syndrome, typically results in what kind of impairment?

    <p>Sensation (A)</p> Signup and view all the answers

    What is the most common cause of an occlusive stroke?

    <p>Atherosclerotic lesions (D)</p> Signup and view all the answers

    What is the difference between brain ischemia and brain anoxia?

    <p>Brain ischemia refers to insufficient blood flow to the brain, while brain anoxia refers to complete deprivation of oxygen delivery. (A)</p> Signup and view all the answers

    Which of the following is NOT a thrombolytic agent used in stroke treatment?

    <p>Aspirin (C)</p> Signup and view all the answers

    What is the difference between intraparenchymal and extraparenchymal hemorrhage?

    <p>Intraparenchymal hemorrhage occurs in the brain tissue itself, while extraparenchymal hemorrhage occurs outside the brain tissue. (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a Transient Ischemic Attack (TIA)?

    <p>They are always accompanied by a loss of consciousness. (D)</p> Signup and view all the answers

    What is the main difference between an occlusive stroke and a hemorrhagic stroke?

    <p>Occlusive strokes are caused by a blockage of blood vessels, while hemorrhagic strokes are caused by bleeding from vessels. (D)</p> Signup and view all the answers

    What is the term for a blood clot that forms within the brain tissue?

    <p>Hematoma (A)</p> Signup and view all the answers

    Which of the following medications is NOT used to prevent or reduce platelet aggregation?

    <p>Warfarin (C)</p> Signup and view all the answers

    What is the primary function of the anterior cerebral artery?

    <p>Supplies blood to the medial and dorsal aspect of the frontal and parietal lobes, including the postcentral and precentral gyri. (D)</p> Signup and view all the answers

    What is the primary consequence of an occlusion of the anterior cerebral artery trunk, as described in the text?

    <p>Contralateral paralysis, mainly affecting the leg (C)</p> Signup and view all the answers

    When the left hemisphere is affected by a Middle Cerebral Artery Syndrome, what specific language impairment might occur?

    <p>Agraphia, difficulty with writing (D)</p> Signup and view all the answers

    Which artery, when occluded, would likely NOT result in contralateral hemiplegia as a primary symptom?

    <p>Posterior Cerebral Artery (B)</p> Signup and view all the answers

    Which of the following symptoms would be most likely to accompany a diagnosis of Posterior Cerebral Artery Syndrome?

    <p>Visual field deficits, specifically contralateral homonymous hemianopia (D)</p> Signup and view all the answers

    In the context of the given information, what is the primary functional difference between the Anterior Cerebral Artery and the Middle Cerebral Artery?

    <p>The anterior cerebral artery primarily affects leg movement, while the middle cerebral artery primarily affects arm and face movement. (B)</p> Signup and view all the answers

    The carotid endarterectomy procedure targets which artery primarily?

    <p>Common Carotid Artery (B)</p> Signup and view all the answers

    Which of the following is a potential complication associated with carotid endarterectomy?

    <p>Postoperative stroke (A)</p> Signup and view all the answers

    According to the provided information, which cerebral artery supplies the primary visual cortex?

    <p>Posterior Cerebral Artery (C)</p> Signup and view all the answers

    What is the primary function of the precentral gyrus?

    <p>Motor control of the contralateral leg (D)</p> Signup and view all the answers

    Which cerebral artery is responsible for supplying blood to the somesthetic and auditory areas of the cerebral cortex?

    <p>Middle Cerebral Artery (A)</p> Signup and view all the answers

    Occlusion of the main trunk of which artery is most likely to result in contralateral paralysis affecting primarily the leg?

    <p>Anterior Cerebral Artery (B)</p> Signup and view all the answers

    What is the primary cause of intraparenchymal hemorrhage?

    <p>Bleeding from an artery within the brain tissue (A)</p> Signup and view all the answers

    Which of the following structures receives blood supply from the posterior cerebral artery?

    <p>Thalamus (D)</p> Signup and view all the answers

    Which of the following drugs is NOT used to prevent or reduce platelet aggregation?

    <p>Warfarin (D)</p> Signup and view all the answers

    Which of the following is a characteristic of brain ischemia?

    <p>Toxic metabolites cannot be effectively removed due to reduced blood flow. (A)</p> Signup and view all the answers

    Which of the following medications is categorized as a thrombolytic agent?

    <p>Streptokinase (D)</p> Signup and view all the answers

    Which of the following scenarios describes an extraparenchymal hemorrhage?

    <p>Bleeding occurs at the surface of the brain, for example due to a ruptured aneurysm causing subarachnoid hemorrhage (B)</p> Signup and view all the answers

    Flashcards

    Stroke

    Rapid loss of brain function due to blood supply disturbance.

    Occlusive Stroke

    Caused by blockage in blood vessels leading to ischemia.

    Hemorrhagic Stroke

    Results from bleeding in or around the brain.

    Extraparenchymal Hemorrhage

    Bleeding at the surface of the brain.

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    Brain Ischemia

    Insufficient blood flow to the brain, reducing oxygen and glucose.

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    Transient Ischemic Attack (TIA)

    Temporary focal ischemia that causes short-lived symptoms.

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    Anticoagulants

    Drugs that prevent blood clotting (e.g., heparin, warfarin).

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    Thrombolytic agents

    Medications that dissolve blood clots (e.g., streptokinase).

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    Anterior Cerebral Artery Syndrome

    A condition caused by blood flow interruption in the anterior cerebral artery, leading to contralateral paralysis mainly of the leg.

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    Contralateral Hemiplegia

    Paralysis on one side of the body opposite to the side of the brain injury.

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    Middle Cerebral Artery Syndrome

    Disruption in blood flow in the middle cerebral artery causing contralateral hemiplegia, especially in upper limbs and face.

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    Aphasia

    Speech disturbance often associated with left hemisphere damage due to cerebral artery occlusion.

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    Contralateral Homonymous Hemianopia

    Visual field loss on the same side of both eyes, caused by damage to the posterior cerebral artery.

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    Carotid Endarterectomy

    A surgical procedure to remove plaques from carotid arteries with over 70% stenosis.

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    Post-operative stroke risk

    Risk of stroke after carotid surgery due to dislodged thrombi.

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    Anterior Cerebral Artery

    Supplies blood to medial and dorsal parts of frontal and parietal lobes.

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    Middle Cerebral Artery

    Supplies blood to the primary motor area and sensory areas of the cortex.

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    Posterior Cerebral Artery

    Supplies blood to the midbrain, thalamus, and occipital lobes.

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    Calcarine Artery

    A branch of the posterior cerebral artery that supplies the primary visual cortex.

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    Cerebral Vascular Syndromes

    Disorders resulting from impaired blood flow to the brain.

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    Stenosis

    Narrowing of blood vessels, often leading to reduced blood flow.

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    Marked Stenosis

    Significant narrowing of blood vessels, particularly >70% in carotid arteries.

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    Anterior Cerebral Artery (ACA)

    Supplies blood to medial and dorsal parts of frontal and parietal lobes.

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    Precentral Gyrus

    Part of the frontal lobe controlling voluntary motor movements, especially of the leg.

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    Middle Cerebral Artery (MCA)

    Supplies blood to primary motor area and sensory areas of the cortex, especially face and arms.

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    Posterior Cerebral Artery (PCA)

    Supplies blood to the midbrain, thalamus, and occipital lobes, including vision areas.

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    Contralateral Sensory Loss

    Loss of sensation on one side of the body opposite to the side of the brain injury, often due to middle cerebral artery syndrome.

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    Posterior Cerebral Artery Syndrome

    Caused by interruption of blood flow to the posterior cerebral artery, resulting in contralateral homonymous hemianopia.

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    Cerebrovascular Accident (CVA)

    Rapid loss of brain function due to blood supply disturbance lasting over 24 hours.

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    Brain Anoxia

    Condition where brain tissue is deprived of oxygen delivery.

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    Hematoma

    A localized bleeding outside of blood vessels, forming a clot in brain tissue.

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    Syncope

    Brief loss of consciousness due to reduced blood flow to the brain.

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    Occlusive Stroke Causes

    Typically caused by atherosclerosis or blood clots in brain blood vessels.

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    Thrombolytic Therapy

    Treatment using drugs that dissolve blood clots.

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    Transient Ischemic Attack (TIA) Symptoms

    Focal ischemia causing symptoms that last 5-30 minutes. Can precede a stroke.

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    Study Notes

    Stroke and Cerebrovascular Accidents (CVAs)

    • A stroke is rapid brain function loss due to disrupted blood supply, persisting for at least 24 hours.
    • Strokes can be occlusive (blocked vessels) or hemorrhagic (bleeding).

    Occlusive Strokes

    • Caused by atherosclerotic lesions or thrombosis in brain blood vessels.
    • Results in ischemia (insufficient blood flow).
    • Toxic metabolites like lactic acid build up due to reduced blood flow.

    Hemorrhagic Strokes

    • Often caused by long-standing high blood pressure or brain aneurysms.
    • Extraparenchymal hemorrhage: Bleeding outside brain tissue (e.g., aneurysm rupture), causing subarachnoid hemorrhage.
    • Intraparenchymal hemorrhage: Bleeding within brain tissue, potentially forming a hematoma that obstructs blood flow.
    • Brain ischemia: Insufficient blood flow to the brain leading to reduced oxygen and glucose delivery.
    • Brain anoxia: Total lack of oxygen delivery to brain tissue.
    • Syncope: Brief loss of consciousness caused by generalized cerebral ischemia.

    Transient Ischemic Attack (TIA)

    • Focal ischemia causing temporary symptoms (typically 5-30 minutes, less than 20 hours).
    • Caused by emboli from atherosclerotic plaque in blood vessels.
    • If untreated, may progress to permanent cerebral infarction.

    Cerebral Vascular Syndromes

    • Cerebral cortex is supplied by anterior, middle, and posterior cerebral arteries.
    • Anterior Cerebral Artery: Supplies medial and dorsal frontal and parietal lobes, including leg motor and sensory areas (postcentral and precentral gyri).
    • Middle Cerebral Artery: Supplies precentral gyrus (primary motor area), premotor region, somesthetic and auditory areas, and parietal lobe integrative areas. Affected areas are typically on the contralateral side.
    • Posterior Cerebral Artery: Supplies midbrain, thalamus, subthalamic nucleus, temporal and inferior occipital lobes, and the primary visual cortex (via calcarine artery).

    Treatments

    • Drugs to prevent platelet aggregation (e.g., aspirin, clopidogrel).
    • Anticoagulants (e.g., heparin, warfarin).
    • Thrombolytic agents (e.g., streptokinase, tissue plasminogen activator).
    • Carotid endarterectomy (surgical removal of atherosclerotic plaques) in cases of severe stenosis (over 70% blockage).
    • Risk of post-operative stroke during carotid endarterectomy exists. Dislodged thrombi are a possible cause of stroke.

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    Description

    Test your knowledge on stroke syndromes, including Anterior, Middle, and Posterior Cerebral Artery Syndromes. This quiz covers symptoms, areas of brain damage, treatment options, and differences in stroke types. Challenge yourself to understand the complexities of stroke and its management!

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