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A list of common and interesting stroke symptoms.
Not an exhausted list!
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Motor and sensory
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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.
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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.
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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
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Ataxia Disturbed movement coordination
Pt may look drunk, think ataxia or check the alcohol hand gel Lesions usually located within cerebellum or brainstem
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Lateropulsion A tendency move or lean sideways involuntarily
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Vision and perception
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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
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Homonymous hemianopia
Blindness or reduction of vision in one half of the visual field Occurs on the same side of both eyes
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Quadrantanopia A defect of the visual field that effects just a quarter of the field.
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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.
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Diplopia Double vision
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Nystagmus Rapid eye movements in one direction, alternating with a slower movement in the opposite direction
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Language and communication
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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.
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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
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Other
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Anosognosia A deficit of self-awareness,
A person who suffers certain disability seems unaware of the existence of his or her disability.
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Aprosodia Inability of a person to properly convey or interpret emotional context
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Dysphagia Difficulty with swallowing due lack of control and coordination of the muscles involved
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Alexia Acquired dyslexia
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Aboulia Refers to a lack of will or initiative
Can be seen as a disorder of diminished motivation
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Vertigo Dizziness in which the Pt inappropriate experiences the perception of motion. Associated with nausea and vommiting
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References Stokes M and Stack E (2011) Physical Management for Neurological Conditions (Third Edition). Edinburgh: Elsevier
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