Ischemic stroke history and symptoms

Ischemic Stroke Microchapters
Main Stroke Page
Transient ischemic attack
Hemorrhagic Stroke Page
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Stroke from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
CT
MRI
Echocardiography
Ultrasound
Other Imaging Findings
Treatment
Early Assessment
Medical Therapy
Surgery
Rehabilitation
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
AHA/ASA Guidelines for Stroke
Case Studies
Case #1
Ischemic stroke history and symptoms On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Ischemic stroke history and symptoms 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 history and symptoms
CDC on Ischemic stroke history and symptoms
Ischemic stroke history and symptoms in the news
Blogs on Ischemic stroke history and symptoms
Directions to Hospitals Treating Stroke
Risk calculators and risk factors for Ischemic stroke history and symptoms

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

History and Symptoms

Detailed history may suggest the underlying cause for ischemic stroke. The symptoms of a stroke are related to the anatomical location of the damage; nature and severity of the symptoms can therefore vary widely

Vessel involved	Site of infarction	History and symptoms
Anterior cerebral artery Rare	Frontal lobe Frontal cortex, Primary motor cortex	Motor weakness of opposite foot and leg Sensory loss over foot, toes and leg on the same side of lesion Urinary incontinence Transcortical aphasia Abulia Contralateral grasp and sucking reflex Disorganized thinking
	Parietal lobe Primary sensory cortex	Hemineglect (left ACA) Behavioral abnormalities
Middle cerebral artery Most common site of infarction	Right superficial division (RSD) Motor cortex (left head,neck and arm) Sensory cortex (left head, trunk and arm)	Left arm and face weakness Hemineglect
	Left superficial division (LSD) Broca's area (expressive speech area) Wernick's area (receptive speech area) Motor cortex (right head, neck and arm) Sensory cortex (right head, neck and arm)	Right arm and facial weakness Hemineglect Non fluent aphasia (Broca's aphasia) Fluent aphasia (wernick's aphasia)
	Lenticulostriate branches Striatum (caudate and putamen) Globus pallidus Internal capsule (anterior limb and genu)	Pure upper motor weakness
Posterior cerebral artery	Superficial branch Occipital cortex Splenium of corpus callosum	Homonymous hemianopsia Alexia without agraphia.
	Deep branch Thalamus Internal capsule (posterior limb)	Hemisensory loss Hemiparesis
Vertebrobasilar artery	Midbrain	Weber syndrome
	Medulla	Lateral medullary syndrome Medial medullary syndrome
	Pons	Locked-in syndrome
	Cerebellum	Difficulty maintaining balance Vertigo Nausea Vomiting Tremors
	Thalamus
	Occipital cortex