Question

A 61-year-old business executive with a long history of high blood pressure collapsed while jogging over the lunch hour. His jogging mate quickly contacted a police officer who helped carry the man to a hospital just down the road. At the hospital, an MRI was performed that revealed a blockage of a major cerebral artery and ischemic changes to the portion of the brain supplied by that artery. With quick medical attention, the man was stabilized, and he slowly improved over the next three weeks.
The following signs and symptoms did persist, however:
- paralysis of the right leg and foot
- loss of sensation on the skin of the right leg and foot
- when blindfolded, inability to identify a tennis ball placed in the left hand, but ability to name it if placed in the right hand
- inability to throw the tennis ball with his left hand, but ability to throw it with his right hand

Answer 1

Answer:

Left Cerebrovascular Incident (Left Ischemic Stroke) with right hemiparesis

Explanation:

Blood pressure increases when a person is involved in physical activity. A history of high blood pressure can result in weakening of the arterial walls overtime, this can lead to blockage of the arteries which means that part of the brain does not receive adequate blood and oxygen supply resulting in in cells of that part of the brain dying, hence ischemic stroke.

As a result, parts of the body supplied by the affected part of the brain will be impaired, eg. weakness, decreased sensation, etc.

Answer 2

Cerebral stroke will affect a schematic side depending on the region in which the brain was affected. in this case the motor recovery will be slow but it can occur.

When does a stroke affect the left side?

A person who has had a stroke in the left part of the brain will suffer from weakness or paralysis in the right side of their body. And a person who has had a stroke on the right side will suffer from weakness or paralysis on the left side of the body.

Why does stroke affect the opposite side?

A patient with a stroke on one side of the brain will have paralysis on the opposite side of the body (hemiplegia), because motor nerve pathways cross the brain from one side to the other in the brain stem.

With this information, we can conclude that the cerebrovascular accident will affect a schematic side depending on the region where the brain was affected. in this case the motor recovery will be slow but it can occur.

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