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    Neorology Stroke Paralysis

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    Sher Ali
    This document discusses how to localize lesions in the brain based on symptoms. It outlines that lesions in the cerebral cortex cause contralateral weakness preferentially in the arm over leg along with cortical sensory loss, aphasia, apraxia, and seizures. Lesions in the internal capsule or midbrain cause dense contralateral hemiplegia and cranial nerve palsies, while pontine and medullary lesions cause contralateral hemiplegia and ipsilateral cranial nerve palsies involving different nerves. Spinal cord lesions result in ipsilateral hemiplegia and sensory loss on the contralateral side of the body.

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    Neorology Stroke Paralysis

    Uploaded by

    Sher Ali
    5 views1 page
    This document discusses how to localize lesions in the brain based on symptoms. It outlines that lesions in the cerebral cortex cause contralateral weakness preferentially in the arm over leg along with cortical sensory loss, aphasia, apraxia, and seizures. Lesions in the internal capsule or midbrain cause dense contralateral hemiplegia and cranial nerve palsies, while pontine and medullary lesions cause contralateral hemiplegia and ipsilateral cranial nerve palsies involving different nerves. Spinal cord lesions result in ipsilateral hemiplegia and sensory loss on the contralateral side of the body.

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    This document discusses how to localize lesions in the brain based on symptoms. It outlines that lesions in the cerebral cortex cause contralateral weakness preferentially in the arm over leg along with cortical sensory loss, aphasia, apraxia, and seizures. Lesions in the internal capsule or midbrain cause dense contralateral hemiplegia and cranial nerve palsies, while pontine and medullary lesions cause contralateral hemiplegia and ipsilateral cranial nerve palsies involving different nerves. Spinal cord lesions result in ipsilateral hemiplegia and sensory loss on the contralateral side of the body.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views1 page

    Neorology Stroke Paralysis

    Uploaded by

    Sher Ali
    This document discusses how to localize lesions in the brain based on symptoms. It outlines that lesions in the cerebral cortex cause contralateral weakness preferentially in the arm over leg along with cortical sensory loss, aphasia, apraxia, and seizures. Lesions in the internal capsule or midbrain cause dense contralateral hemiplegia and cranial nerve palsies, while pontine and medullary lesions cause contralateral hemiplegia and ipsilateral cranial nerve palsies involving different nerves. Spinal cord lesions result in ipsilateral hemiplegia and sensory loss on the contralateral side of the body.

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    © All Rights Reserved
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    Localization of Site of Lesion in Neurology (stroke/paralysis)

    1. Cerebral cortex: Contralateral features


    a) Arm is weak than leg
    b) Cortical sensory loss
    c) Aphasia
    d) Apraxia
    e) Seizure
    f) UMN 7th C.N. palsy.

    2. Internal capsule-contralateral
    a) Dense hemiplegia
    b) 7th CN palsy-UMN type
    c) Hemianesthesia.

    3. Mid brain (Weber syndrome)


    a) Contralateral hemiplegia
    b) Ipsilateral 3rd C.N. palsy.

    4. Pons (Millard Gubler syndrome)


    a) Contralateral hemiplegia
    b) Ipsilateral VI and VII C.N. palsies (LMN).

    5. Medulla (Jackson syndrome)

    a) Contralateral hemiplegia
    b) Ipsilateral IX, X, XI and XII C.N. palsies.

    6. Spinal cord lesion

    a) Ipsilateral hemiplegia
    b) Post. Column sensory loss
    c) Contralateral temperature and pin prick loss.

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