Anatomic Localization in Stroke | |||
Signs and Symptoms | |||
---|---|---|---|
Cerebral Hemisphere, Lateral Aspect (Middle Cerebral A.) | |||
Hemiparesis | |||
Hemisensory deficit | |||
Motor aphasia (Broca's)-hesitant speech with word-finding difficulty and preserved comprehension | |||
Sensory aphasia (Wernicke's)-anomia, poor comprehension, jargon speech | |||
Unilateral neglect, apraxias | |||
Homonymous hemianopia or quadrantanopia | |||
Gaze preference with eyes deviated toward side of lesion | |||
Cerebral Hemisphere, Medial Aspect (Anterior Cerebral A.) | |||
Paralysis of foot and leg with or without paresis of arm | |||
Cortical sensory loss over leg | |||
Grasp and sucking reflexes | |||
Urinary incontinence | |||
Gait apraxia | |||
Cerebral Hemisphere, Posterior Aspect (Posterior Cerebral A.) | |||
Homonymous hemianopia | |||
Cortical blindness | |||
Memory deficit | |||
Dense sensory loss, spontaneous pain, dysesthesias, choreoathetosis | |||
Brainstem, Midbrain (Posterior Cerebral A.) | |||
Third nerve palsy and contralateral hemiplegia | |||
Paralysis/paresis of vertical eye movement | |||
Convergence nystagmus, disorientation | |||
Brainstem, Pontomedullary Junction (Basilar A.) | |||
Facial paralysis | |||
Paresis of abduction of eye | |||
Paresis of conjugate gaze | |||
Hemifacial sensory deficit | |||
Horner's syndrome | |||
Diminished pain and thermal sense over half body (with or without face) | |||
Ataxia | |||
Brainstem, Lateral Medulla (Vertebral A.) | |||
Vertigo, nystagmus | |||
Horner's syndrome (miosis, ptosis, decreased sweating) | |||
Ataxia, falling toward side of lesion | |||
Impaired pain and thermal sense over half body with or without face |