Middle Cerebral Artery CVA

Aka: Middle Cerebral Artery CVA, Cerebrovascular Accident of Middle Cerebral Artery, MCA CVA

advertisement

II. Epidemiology

  1. Most common Ischemic Stroke territory, accounting for up to 90% of Ischemic Strokes

III. Findings: Symptoms and Signs

  1. May be associated with rapid progression in Decreased Level of Consciousness
  2. Contralateral Hemiparesis or Hemiplegia (motor weakness)
  3. Contralateral hemisensory disturbance
    1. Sensory deficit of head (spares forehead) and arm, and to a lesser extent leg
  4. Aphasia occurs with left MCA lesion (dominant hemisphere)
  5. Hemineglect occurs with a right MCA lesion (non-dominant hemisphere)
    1. Denial or lack of recognition of paralyzed extremity
  6. May be associated with eye changes
    1. Conjugate Eye Deviation towards the Brain Lesion
      1. Eyes look toward lesion (contrast with Seizure, in which eyes look away from the lesion)
      2. Inability to turn eyes toward the affected side
    2. Contralateral homonymous Hemianopsia (blindness in same Visual Field of each eye)

IV. References

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

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Middle Cerebral Artery CVA." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Topics in Cardiovascular Medicine

advertisement