Clinical features of stroke
Symptoms of stroke largely depends on the site of the lesion.
Anterior (carotid) artery circulation
Middle cerebral artery
- Aphasia (unable to talk) – dominant hemisphere
- Hemiparesis/Hemiplegia
- Hemisensory loss/disturbance
- Homonymous hemianopia
- Parietal lobe dysfunction (e.g.: astereognosis, agraphaesthesia, impaired 2 point discrimination, sensory and visual inattention, left-right dissociation and acalculia)
Anterior cerebral artery
- Weakness of lower limb more than upper limb
Posterior (vertebrobasilar) artery circulation
- Homonymous hemianopia
- Cortical blindness
- Ataxia
- Dizziness or vertigo
- Dysarthria
- Diplopia
- Dysphagia
- Horner’s syndrome
- Hemiparesis or hemisensory loss contralateral to the cranial nerves palsy
- Cerebellar signs
Related:
Reference:
- Clinical Practice Guidelines. Management of Ischaemic Stroke. June 2006. Ministry of Health Malaysia.
Tags: anterior, artery circulation, clinical features, posterior
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