CVA Syndromes

Carotid ArteryAphasia
Contralateral homonymous hemianopsia
Contralateral motor loss
Contralateral sensory loss
Conjugate ipsilateral eye deviation
Middle Cerebral Artery (MCA) Aphasia
Neglect
Contralateral homonymous hemianopsia
Contralateral motor loss
Contralateral sensory loss
Conjugate eye deviation toward the lesion
Anterior Cerebral Artery (ACA) Apathy, Abulia, Disinhibition
Conjugate eye deviation
Contralateral motor loss
Contralateral sensory loss
Incontinence
Primitive frontal lobe reflexes (grasp and suck)
Posterior Cerebral Artery (PCA) Contralateral visual field cut (Homonymous Hemianopia)
Visual agnosia
Reading disorders
Alexia
Agraphia
Prosopagnosia (inability to recognize faces)
Possible sensory loss
Possible blindness
Possible permanent amnesia
Superior Cerebellar Artery (SCA) Ipsilateral dysmetria
Ipsilateral Horner syndrome
Contralateral pain and temperature sensory loss
Contralateral cranial nerve IV (Trochlear) weakness
Posterior Inferior Cerebellar Artery (PICA)Ipsilateral weakness, Horner syndrome
Wallenberg syndrome
Ipsilateral limb ataxia
Decreased contralateral pain and temperature sensation of trunk and extremities
Decreased ipsilateral pain and temperature sensation of face
Anterior Inferior Cerebellar Artery (AICA)Ipsilateral deafness
Ipsilateral motor loss
Ipsilateral sensory loss
Ipsilateral limb ataxia
Decreased contralateral pain and temperature sensation
Vertebrobasilar Artery Death/major disability/coma
Altered consciousness
Oculomotor difficulties
Facial paresis
Dysarthria
Cranial nerve dysfunction
Visual deficits
Ataxia
Quadriparesis
Locked-in syndrome (rare)
LacunarMotor hemiparesis
Ataxia
Dysarthria
Slurred speech
Diminished sensation
Source: Goetz CG. Textbook of clinical neurology. 3rd edition. Philadelphia: Elsevier; 2007;
Goldstein JN, Greer DM. Rapid focused neurologic assessment in the emergency department and
ICU. Emerg Med Clin North Am 2009;27(1):5.
Left HemisphereRight Hemisphere
Right-sided paralysisLeft-sided paralysis
Speech/language problemsVision problems
Slow and cautious behaviorQuick, inquisitive behavior
Memory lossMemory loss
Source: American Heart Association. (n.d.). Effects of Stroke. Retrieved from https://www.stroke.org/en/about-stroke/effects-of-stroke
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