Ischemic stroke physical examination

Stroke Main page
Patient Information
Overview
Causes
Classification Hemorrhagic stroke Ischemic stroke
Differentiating Stroke from other Diseases
Epidemiology and Demographics
Diagnosis NIH stroke scale Glasgow coma scale
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Ischemic stroke physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Ischemic stroke physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Ischemic stroke physical examination
CDC on Ischemic stroke physical examination
Ischemic stroke physical examination in the news
Blogs on Ischemic stroke physical examination
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Ischemic stroke physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

A systematic review found that acute facial paresis, arm drift, or abnormal speech are the best findings.

Physical Examination

Glassgow coma score

Glassgow coma score helps determine the severity of infaction and extent of damage.

Parameter	Patient response	Glassgow coma score
Eye opening	Frontal lobe Temporal Parietal Occipital	A B C
Motor response	Midbrain Pons Medulla	A B C
Verbal response	A B C D	A B C D

Appearance

The patient may appear confused.

Eye

• Vision problems may be present.
• Drooping of eyelid (ptosis) and weakness of ocular muscles

Ear

• Altered hearing may be present.

Extremities

• Arm drift
• Weakness

Neurologic

• Abnormal speech
• Acute facial paresis
• Decreased reflexes: gag, swallow, pupil reactivity to light
• Disorganized thinking, confusion, hypersexual gestures (with involvement of frontal lobe)
• Hemineglect (involvement of parietal lobe)
• Loss of co-ordination
• Memory deficits (involvement of temporal lobe)
• Numbness
• Reduction in sensory or vibratory sensation