STROKE-PRESENTATION, LEFT MCA

SUMMARY

DEFICITS INVOLVING SPECIFIC LOBES
1. Dominant frontal lobe infarct: impaired gaze to the contralateral side (destruction of the frontal eye field), contralateral hemiparesis (face & arm > leg)

2. Dominant temporal lobe infarct: alexia, agraphia, acalculia, anomia, Wernicke’s (receptive) dysphasia, homonymous superior quadrantinopia.

3. Dominant parietal lobe infarct: Gerstmann syndrome (right-left disorientation, finger agnosia, acalculia, agraphia without alexia), contralateral hemianopia, contralateral neglect (rarely), contralateral hemi-sensory loss, bilateral astereognosis.

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].