QuestionSBA
QuestionChoice
This is unlikely as there are no left-sided symptoms and the presentation does not fulfil all the requirements of an anterior infarct.
10003002
b
Right Total Anterior Circulation Infarct (TACI)
QuestionChoice
This is unlikely as the patient does not present with any left-sided symptoms, which would be more likely in a right PACI
10003003
c
Right Partial Anterior Circulation Infarct (PACI)
QuestionChoice
This is unlikely as a patient with a LACI would present with one of the following; pure motor stroke OR pure sensory stroke OR mixed sensorimotor stroke OR ataxic hemiparesis
10003004
d
Left Lacunar Infarct (LACI)
QuestionChoice
This is the most likely type of stroke as it fulfils two out of three requirements of an anterior infarct according to the Bamford criteria. This includes contralateral hemiparesis and aphasia. There is no homonymous hemianopia present in this patient.
10003001
a
Left Partial Anterior Circulation Infarct (PACI)
QuestionChoice
This is unlikely as the patient's presentation does not fulfil all the requirements for an anterior infarct. The patient has a normal visual examination and so there is no sign of homonymous hemianopia.
10003005
e
Left Total Anterior Circulation Infarct (TACI)
Concept
Chapter
2693
3743
Ischaemic Stroke
Topic
141
Neurology
13147
66y/o female, tells A&E doctor about a recent fall, on examination unable to lift up her right arm and leg, neglecting her right visual field, identify the type of stroke

A 66 year old female is brought into A&E in an ambulance after a recent fall. She has a past medical history of hypertension and a previous MI at 62.

On examination, she has slurred speech and is unable to raise her right upper and lower limb. There are no visual changes. What is the most probable type of stroke?
a