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Stroke syndromes  




Signs and symptoms  


Medial frontal and parietal  

Contrlateral leg > arm weakness

Recurrent artery of Huebner
(A brnach off A1 segment)  

Anterioinferior caudate
Anterior limb of internal

Contralateral face weakness (Huebner)
Contralateral leg weakness (A1 segment)  

MCA - Superior M2 (anterior)  


Face and arm > leg weakness / numbness
Expressive aphasia (dominant, Broca's)
Hemineglect (nondominant)  

MCA - Inferior M2 (posterior)  


Homonymous hemi / upper quadrantinopsia
Receptive aphasia (dominant Wernicke's)
Constructional apraxia (non-dominant)  

Gerstmann syndrome
(Partial MCA)  

Dominant inferior parietal
lobe (angular gyrus)  

Alexia / agraphia
Finger agnosia
R-L confusion

Unilateral PCA  

Occipital and infero-medial
temporal lobes, posterior

Homonymous hemianopsia with macular
sparing +/- alexia without agraphia / anomia  

Balint syndrome (bilateral PCA)  

Bilateral parieto-occipital

Optic ataxia
Ocular apraxia

PCA Callosal branch  

Dominant occipital lobe with Alexia without agraphia, or "pure word
splenium of corpus callosum   blindness"  

Dejerine-Roussy or "thalamic
pain syndrome" (PCA branches)  

Contralateral hemisensory loss
Contralateral hemibody pain  

Weber (PCA penetrators)  

Midbrain, anterior  

Contralateral weakness, ipsilateral CN III palsy  

Claude (PCA penetrators)  

Midbrain, tegmentum  

Contralateral rubral tremor, ipsilateral CN III
palsy +/- contralateral weakness and numbness  

Benedikt (PCA penetrators)  

Midbrain, tegmentum  

Contralateral rubral tremor, ipsilateral CN III
palsy, ipsilateral ataxia, contralateral
hemisensory loss  

Raymond (basilar paramedian

Pons, ventral-medial  

Ipsilateral CN VI (spares CN VII)
Contralateral weakness  

Millard-Gruber (basilar short
and paramedian branches)  

Pons, basis pontis and VI and Ipsilateral CN VI and VII palsies
VII fascicles  
Contralateral weakness  

Foville (basilar shorts and
paramedian branches)  

Pons, tegmentum and caudal Ipsilateral VI / PPRF (gaze) and VII palsies
Contralateral weakness and sensory loss (ML)  

Marie-Foix (basilar/AICA)  

Pons / lateral  

Ipsilateral ataxia, contralateral weakness and

Locked-in syndrome (basilar)

Bilateral ventral pons  

Bilateral face/arm/leg weakness

internal capsule. internal capsule. midbrain   sensation on one side of the body. pain. (VPL). anterior limb The main symptoms are dysarthria and or genu of internal capsule. medial   syndrome)   Contralateral weakness Contralateral vibration/proprioceptive loss (ML) Ipsilateral tongue deviation (CN XII nucleus)     LACUNAR  STROKE  SYNDROMES   Name   Pure motor stroke/hemiparesis (most common lacunar syndrome: 33-50%)   Ataxic hemiparesis (second most frequent lacunar syndrome)   Dysarthria/clumsy hand (sometimes considered a variant of ataxic hemiparesis. clumsiness (i."de-efferented state"   Bilateral VI palsies Aphonia   Wallenberg of lateral medullary syndrome (vertebral artery > Medulla. lateral   PICA)   Ipsilateral facial sensory loss (CN V) Ipsilateral ataxia. contralateral body sensory loss   Anterior spinal artery (Dejerine Medulla. burning. and corona radiata. It usually pontis. which corona radiata. or leg of one side. lentiform it is known also as homolateral ataxia and crural nucleus. or another unpleasant corona radiata. thalamus. basal often are most prominent when the patient is ganglia.. including weakness and clumsiness. The onset of symptoms is often over ACA infarcts   hours or days. weakness) of the hand. arm. dysphagia. hemiplegia with ipsilateral sensory impairment   lateral pons   .   thalamus and adjacent This lacunar syndrome involves hemiparesis or posterior internal capsule.   peduncle   contralateral thalamus Marked by persistent or transient numbness. basis Dysarthria. dysphagia Ipsilateral Horner's. hence. paresis. tingling. SCA infarcts. N/V Vertigo. internal capsule.e. nystagmus. cerebral writing. hoarseness. affects the leg more than it does the arm. red nucleus. basis on the contralateral side of the body. corona radiata   symptoms may also be present.   It displays a combination of cerebellar and motor posterior limb of the symptoms.   basis pontis. and transient sensory pontis. but usually still is classified as a separate lacunar syndrome)   Pure sensory stroke   Mixed sensorimotor stroke       Location of infarct   Presentation   It is marked by hemiparesis or hemiplegia that posterior limb of the typically affects the face.