Difference between revisions of "STROKE-PRESENTATION, PCA TERRITORY"

Revision as of 11:07, 20 March 2023

SUMMARY

The PCA supplies the upper brainstem, posterior-inferior surface of the temporal lobe & visual cortex.

SYMPTOMS1. Contralateral homonymous hemianopia: with medial occipital lesions
2. Anton syndrome: when bilateral PCAs involved, may have denial of cortical blindness
3. Prosopagnosia: can't read faces
4. Palinopsia: abnormal recurring visual imagery
5. Transcortical sensory aphasia: can't understand written or spoken language but can repeat
6. CN III & IV palsies: the PCA supplies these cranial nerves via interpeduncular branches
7. Weber syndrome: occulomotor palsy & contralateral hemiplegia

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

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 ===== [[Summary Article|'''SUMMARY''']] =====
 The PCA supplies the upper brainstem, posterior-inferior surface of the temporal lobe &amp; visual cortex.
+<br/>
 <br/><i>SYMPTOMS</i>1. Contralateral homonymous hemianopia: with medial occipital lesions
 <br/>2. Anton syndrome: when bilateral PCAs involved, may have denial of cortical blindness