CVA Location & Clinical Presentation

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Last updated 3:03 AM on 8/25/26
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5 Terms

1
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What are common findings with a LEFT hemisphere CVA?

  • Right-sided weakness/paralysis

  • Possible aphasia

    • Expressive

    • Receptive

    • Global

  • Possible dysphagia

  • Possible motor apraxia

  • Increased frustration

  • Decreased processing

  • Difficulty discriminating left vs right

  • Right hemianopsia


2
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What are common findings with a RIGHT hemisphere CVA?

  • Left-sided weakness/paralysis

  • Left hemianopsia

  • Left inattention/neglect

  • Decreased:

    • Attention

    • Awareness/judgment

    • Memory

    • Abstract reasoning

    • Spatial orientation

  • Emotional lability

  • Impulsive behavior


3
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What are common findings with a BRAINSTEM CVA?

  • Unstable vital signs

  • Decreased consciousness

  • Decreased swallowing ability

  • Bilateral weakness

  • Bilateral paralysis may occur


4
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What are common findings with a CEREBELLAR CVA?

  • Decreased balance

  • Ataxia

  • Decreased coordination

  • Nausea

  • Decreased postural adjustments

  • Nystagmus


5
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What is the high-yield hemisphere rule for CVA?

  • Left hemisphere → right body

  • Right hemisphere → left body

  • Left hemisphere → think language/aphasia

  • Right hemisphere → think neglect, impulsivity, spatial deficits