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