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A list of common and interesting stroke symptoms.

A list of common and interesting stroke symptoms. Not an exhausted list ! http://plasticphysio.wordpress.com/. Motor and sensory. Hemiplegia. Total paralysis of the arm, trunk and leg on one side of the body. Occurs contralateral to the side of the infarct.

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A list of common and interesting stroke symptoms.

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  1. A list of common and interesting stroke symptoms. Not an exhausted list! http://plasticphysio.wordpress.com/

  2. Motor and sensory

  3. Hemiplegia • Total paralysis of the arm, trunk and leg on one side of the body. • Occurs contralateral to the side of the infarct. • Hemiparesis is a similar term that refers to a weakness on side of the body.

  4. Hemisensory deficits • Decreased sensory awareness of one side of the body. • Often occurs in a boot or glove like distribution • Often assessed with light touch with Pt required to call out the side being touched • Don’t forget other senses: pain, proprioception, temperature, etc.

  5. Apraxia • Loss of the ability to carry out learned movements • A disorder of motor planning, Pt will have the desire and motor ability to complete the task

  6. Ataxia • Disturbed movement coordination • Pt may look drunk, think ataxia or check the alcohol hand gel • Lesions usually located within cerebellum or brainstem

  7. Lateropulsion • A tendency move or lean sideways involuntarily

  8. Vision and perception

  9. Neglect • Pt acts as if one side of space does not exist • This is with the absence of visual deficits • More commonly seen with right-sided infarcts

  10. Homonymous hemianopia • Blindness or reduction of vision in one half of the visual field • Occurs on the same side of both eyes

  11. Quadrantanopia • A defect of the visual field that effects just a quarter of the field.

  12. Tactile agnosia • Agnosia is a loss of ability to recognize things without defective senses or memory. • Tactile agnosia refers to the loss of the ability to recognise things by touch.

  13. Diplopia • Double vision

  14. Nystagmus • Rapid eye movements in one direction, alternating with a slower movement in the opposite direction

  15. Language and communication

  16. Aphasia • Inability to communicate • Receptive or fluent aphasia, inability to understand language in its written or spoken form. • Expressive or non-fluent aphasia, inability to generate speech.

  17. Dysarthia • Motor disorder of speech • Characterised by poor articulation • Pt finds it difficult to produce or sustain range, force, speed an coordination of movements to articulate

  18. Other

  19. Anosognosia • A deficit of self-awareness, • A person who suffers certain disability seems unaware of the existence of his or her disability.

  20. Aprosodia • Inability of a person to properly convey or interpret emotional context

  21. Dysphagia • Difficulty with swallowing due lack of control and coordination of the muscles involved

  22. Alexia • Acquired dyslexia

  23. Aboulia • Refers to a lack of will or initiative • Can be seen as a disorder of diminished motivation

  24. Vertigo • Dizziness in which the Pt inappropriate experiences the perception of motion. • Associated with nausea and vommiting

  25. References • Stokes M and Stack E (2011) Physical Management for Neurological Conditions (Third Edition). Edinburgh: Elsevier

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