II. Epidemiology

  1. Accounts for 2-3% of Ischemic Strokes

III. Findings: Signs and Symptoms

  1. Contralateral Hemiparesis or Hemiplegia (motor weakness)
  2. Contralateral sensory Impairments
    1. More prominent in leg, and to lesser extent head (spares forehead) and arm
  3. Expressive Aphasia or Broca's Aphasia (if CVA in dominant, left hemisphere)
  4. May be accompanied by significant cognitive, mental status and emotional deficits
    1. Confusion
    2. Amnesia
    3. Perseveration
    4. Personality change
      1. Flat affect, apathy
    5. Cognitive change
      1. Short attention span, slowness
    6. Deterioration of Intellectual Function
    7. Abulia
      1. Inability to make decisions or voluntary acts
    8. Apraxia (on affected side)
      1. Inability to perform familiar (previously learned) movements

IV. References

  1. (2019) Neuro-Psych, CCME National Board Review Course, accessed 6/7/2019

Images: Related links to external sites (from Bing)

Related Studies