- | Page
Certified Stroke Rehabilitation Specialist (CSRS) Questions With Complete Solutions Types of stroke (Lesson 2)
Ischemic: 87%
-Thrombotic -Embolic -Lacunar
Hemorrhagic: 13%
-Intracerebral -Subarachnoid
Thrombotic Stroke (Ischemic) 48% of all strokes -typically occurs during sleep -slow progressive onset of deficits -50% are associated with prior TIA
- | Page
Embolic Stroke (Ischemic) 26% of all strokes -typically occurs while awake -sudden, immediate deficits (sometimes seizures) -11% are associated with prior TIA
Lucunar Stroke (Ischemic) small vessel disease 13% of all strokes -small infarct (>15-20 cm) deep in the brain -onset can be gradual or sudden -23% associated with proceeding TIA -often pure sensory or motor symptoms -typically no higher cortical functional involved
Intracerebral Hemmorhage (ICH) 10% of all strokes -90% happen with the patient is under "no stress"
- | Page
-major cause of "hypertension" -onset may be gradual or sudden -8% are associated with prior TIA -direct correlation with high blood pressure/ hypertension
Subarachnoid Hemorrhage (SAH) 3% of all stroke -occurs often during strenuous activity
-cause: rupture aneurysms and vascular malformations
-sudden onset -7% are associated with preceding TIA
Left Stroke with Right Hemiplegia -Language/Perceptual problems -expressive aphasia -receptive aphasia -global aphasia -alexia, agraphia , acalculia
- | Page
-apraxias: motor planning perceptual problems
(Impaired verbal and math skills with word letter discrimination
Left Stroke with Right Hemiplegia (BEHAVIORS) -Slow, anxious, cautious, normal attention span -underestimated abilities -emotionally labile ( abrupt mood changes) -quick to anger and/or become frustrated
Right Stroke with Left Hemiplegia Perceptual problems/ Distortion of physical reality
-visual spatial disorders :depth perception
-constructional relationships -directional concepts -neglect, drawing abilities -body schema perception disorders; -perceptual language disorders language