Stroke Syndrome

  1. A 65 yr old male develops the acute onset of weakness of the right face, arm and leg.  There is associated numbness of face, arm, and leg.   He has an expressive aphasia.  Eyes are deviated to the left and he has a right homonymous hemianopia.

                a)      What vascular territory is involved?

                b)       Name the vessel this artery branches off from.

                c)       Which artery or arteries supply the body and head of the caudate, upper part
                       of the anterior limb, genu, and anterior part of the posterior limb of the internal
                       capsule, putamen, and pallidum?

                d)      What are the possible etiologies of stroke in this patient?

 

  1. A 75 yr old female with hypertension presents with weakness of the face, arm, and leg. 

a)      Where in the brain is her infarct located?

b)      What is the pathophysiology of this infarct?

c)      What syndrome is this? 

  

  1. A 28 yr old female presents with loss of vision.  On exam she has a right homonymous hemianopia.

a)      What vascular territory is involved?

b)      What are possible etiologies for stroke in this young female?

  

  1. A 70 yr old male presents with an acute hemiparesis and then developed vertigo, diplopia, ataxic gait and altered consciousness.  

a)      What vascular territory is involved?

b)      Then 3 hrs later the patient was blind. What happened?