II. Epidemiology
- Accounts for 2-3% of Ischemic Strokes
III. Findings: Signs and Symptoms
- Contralateral Hemiparesis or Hemiplegia (motor weakness)
- Contralateral sensory Impairments
- More prominent in leg, and to lesser extent head (spares forehead) and arm
- Expressive Aphasia or Broca's Aphasia (if CVA in dominant, left hemisphere)
- May be accompanied by significant cognitive, mental status and emotional deficits
- Confusion
- Amnesia
- Perseveration
- Personality change
- Flat affect, apathy
- Cognitive change
- Short attention span, slowness
- Deterioration of Intellectual Function
- Abulia
- Inability to make decisions or voluntary acts
- Apraxia (on affected side)
- Inability to perform familiar (previously learned) movements
IV. References
- (2019) Neuro-Psych, CCME National Board Review Course, accessed 6/7/2019