Factoid: Stroke Syndromes

History and physical examination of the suspected ischemic stroke patient allows localization of the suspected lesion. Discussing the suspected lesion, or stroke syndrome, with the radiologist reading the CT scan can help them to look for early stroke signs in that territory (like the hyper dense MCA sign).

Describe the features of each stroke syndrome listed below:

  • Contralateral hemiparesis
  • Contralateral lower face weakness
  • Ipselateral gaze preference
  • Aphasia

  • Disinhibition
  • Contralateral leg weakness
  • Ataxia
  • Presence of primitive reflexes
  • Urinary incontinance

  • Homonymous hemianopsia
  • Altered mental status
  • Impaired memory


  • Vertigo
  • Nystagmus
  • Diplopia
  • Dysphagia
  • Dysarthria
  • Ataxia
  • Ipselateral cranial nerve defect
  • Contralateral motor deficit

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  1. [...] Emergsource Factoid: Stroke Syndromes- a very direct (and maybe not thorough enough for the purposes of medical student learning) review of the various stroke syndromes [...]

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