Stroke Syndromes: MCA, ACA, ICA, PCA, Vertebrobasilar Artery Strokes | Pathophysiology

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  • Опубліковано 2 чер 2024
  • Official Ninja Nerd Website: ninjanerd.org
    Ninja Nerds!
    In this lecture Professor Zach Murphy will be presenting on Stroke Syndromes: MCA, ACA, ICA, PCA, Vertebrobasilar Strokes, pathophysiology. This lecture will include a detailed and systematic approach to understanding cerebrovascular accidents (CVA), also referred to as strokes. We discuss middle cerebral artery (MCA), anterior cerebral artery (ACA), internal carotid artery (ICA), posterior cerebral artery (PCA) syndromes. Additionally, we discuss strokes that can also affect the brainstem including vertebrobasilar artery syndromes. We hope you enjoy this lecture and be sure to support us below!
    Table of Contents:
    0:00 Classroom
    0:14 Stroke Syndromes Introduction
    0:42 MCA Syndrome
    19:06 ACA Syndrome
    27:31 MCA / ACA Watershed Zones
    29:51 ICA Syndrome
    33:48 MCA / PCA Watershed Zones
    37:14 Anterior Circulation vs Posterior Circulation Strokes
    37:57 PCA Syndrome
    40:01 Midbrain Lesions: Weber, Claude, Benedikt Syndrome
    44:21 Basilar Artery Syndromes
    1:01:22 Vertebral Artery Syndromes
    1:16:02 Outro: As Always, Until Next Time
    1:16:15 Comment, Like, SUBSCRIBE!
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    #ninjanerd #strokes #CVA

КОМЕНТАРІ • 477

  • @mattkondracki3454
    @mattkondracki3454 Рік тому +205

    Dude, I've been watchin you since 2018 back in my freshman year of college and now I'm working as an RN in the Neuro ICU and I'm still coming to you to learn. You're a true gift to this planet. Thank you Professor.

    • @boutainaessaher7110
      @boutainaessaher7110 3 місяці тому

      😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊

  • @PhoenixTTV.
    @PhoenixTTV. Рік тому +45

    I remember watching your videos in my first year and it was right before my final exam. I am graduating next year as an MD and I still think this is the best educational channel on UA-cam. You and your team deserve so much more. Thank you so much

  • @ryanzeh9509
    @ryanzeh9509 2 роки тому +112

    Hell yeah, been watching since nursing school. Now a Neurosurgical ICU RN for a year and counting!

  • @rod.juanda
    @rod.juanda 9 місяців тому +9

    Bro has been the best thing that has happened in the lives of millions of medical students. The best teacher! congrats

  • @ShehanDyonisius
    @ShehanDyonisius 2 роки тому +69

    Why does the PCA syndrome part get cut out when watching. The thalamus part seems to be skipped

  • @bonniekonjevich7574
    @bonniekonjevich7574 2 роки тому +3

    This is absolutely the best comprehensive presentation for the A+P re the pathophysiology
    of CVA types I have ever seen. Had an RNC in inpatient obstetrics, retired now, and a senior w/some of such aberrations re MRI findings. WOW!

  • @amunwa
    @amunwa 2 роки тому +42

    …you sir are a genius! I had a stroke in 2015, I’ve learned more from your lectures than all the doctors could tell me. Admittedly, they would have ‘dumbed down’ their communication to the masses level but nonetheless, I needed to know more and understand more. I’m much better now having recovered upwards of 98% of my motor abilities on my left side. Now at 64 years I’m still keen to regain the other 2%. Keep up the great work!

    • @belatuba1914
      @belatuba1914 2 роки тому +1

      How do you know it’s 2 % and not 3 or 4 or even 5 %
      How do you calculate ?

    • @blaschito1
      @blaschito1 2 роки тому +6

      @@belatuba1914 do not be a pain

    • @belatuba1914
      @belatuba1914 2 роки тому +1

      @@blaschito1 being a pain is my middle name

  • @andreacosta591
    @andreacosta591 Рік тому +13

    I’m a practicing physiatrist in the Philippines and I’m currently reviewing for diplomate oral exams. I’ve been reading our book about stroke syndromes for half a day now and somehow I can’t remember anything after I finished the chapter. Just an hour of your lecture and I understood stroke syndromes. Thank you guys for simplifying difficult lectures. Keep it up, Zach & Ninja Nerds staff! 😊

  • @anonymousaardvark862
    @anonymousaardvark862 Рік тому +7

    quickest hour of my life well-spent. I am currently in grad school to become a speech-language pathologist, and you did an awesome job of describing the function of Broca's and Wernicke's area and the aphasias that can result due to brain damage. Thank you for that! You will single-handedly be the reason I pass neuroanatomy.

  • @neet-py9sz
    @neet-py9sz 2 роки тому +33

    God bless you guys
    You don’t know what and how valuable you have been . You will go down in history of medicine for the amazing and selfless work you guys are doing

  • @Siie1221
    @Siie1221 2 роки тому +16

    You made a whole day worth of lecture understandable in the span of 1HR and 16 mins sir. thank you so much for this. Im currently taking a 15 minute break before proceeding to the basilar artery syndrome and just wanna say my appreciation for your existence and for this free lectures. Currently prepping for my NPTE and your lecture is definitely a God send blessing.THANK YOU SO MUCH

  • @footballupdate4063
    @footballupdate4063 2 роки тому +9

    You can't actually realize how you are helping students out it there. MAY GOD BLESS YOU ALWAYS.

  • @niharikasaraf3506
    @niharikasaraf3506 Рік тому +5

    This is exactly how stroke syndromes need to be taught! Hands down, no other method and/or video comes close!

  • @physiotherapistan-v
    @physiotherapistan-v 2 роки тому +8

    I guess there is some issue with video clip part explaining pca syndrome as it just explained about homolateral homonymous hemianopia and straight jumped to midbrain syndromes somehow the thalamus position was just not explained at all

  • @Vinterlaand
    @Vinterlaand Рік тому +5

    I watched dozens of videos of yours throughout med school and this one has to be your best. You made a very difficult topic very simple.

  • @christinejoydeleon4635
    @christinejoydeleon4635 2 роки тому +17

    I learn more from you than my medschool profs, honestly. Thank you!!!

  • @torifortuna7682
    @torifortuna7682 10 місяців тому +1

    Been watching your videos since undergrad and now about to sit for the NPTE, needed a solid review of stroke pathways and expected impairments. You rocked this! Thank you!

  • @vidam.2293
    @vidam.2293 2 роки тому +47

    Great lecture as always.. Missed discussion on the thalamus though but the rest was great. Even with my incredibly short attention span, I was able to listen to the whole thing without spacing out, which is saying something. :) Thank you!

  • @ryangraham1234
    @ryangraham1234 2 роки тому +8

    Absolutely amazing, I finally get it after several failed attempts...way of breaking things down and visuals are genius level, thank you.

  • @soulfulsinger7447
    @soulfulsinger7447 Рік тому +1

    It’s amazing how the human body is studied and how anatomist biologist and scientists are able to understand how all this works. It’s simply mind blowing.

  • @user-xj7pq4vz7x
    @user-xj7pq4vz7x 5 місяців тому

    Thank you!!! I've worked in Neuro ICU for years and this is the clearest, most comprehensive explanation I've come across.

  • @davidkuledjawa8447
    @davidkuledjawa8447 2 роки тому +8

    Thanks professor Zach for such a systematic presentation. More 🔥🔥

  • @Roger-hu4tk
    @Roger-hu4tk 2 роки тому +1

    Dude this is ART honestly, the drawings, the presentation !! Wow no one could have done it like this ♥️♥️

  • @danifuzi7764
    @danifuzi7764 2 роки тому +1

    Thank you! Helps me understand my LMS. Crazy to identify with all the symptoms so intimately.

  • @melissamueller3679
    @melissamueller3679 Рік тому +1

    Just amazing how you can simplify the most complex issues! True gift!

  • @jordanm83
    @jordanm83 11 місяців тому +1

    I've been watching since beginning of medical school and now I'm going to be neurology resident next year. Still one of the best resources!

  • @noronharaegan
    @noronharaegan Рік тому +1

    You Sir are absolutely phenomenal. The passion with which you teach and your efforts with all the amazing diagrams is something I am so grateful to you for, it will stay with me all through my doctor years for not just me but so many other doctors. You are really helping make a difference to our education and our future patients so thankyou, forever grateful to you and your team

  • @omerelsabbagh8353
    @omerelsabbagh8353 2 роки тому +11

    Dr Murphy; an excellent presentation. One question: on your discussion of mca I did not get your mention of lenticulostriate artery and the internal capsule. Cortical branches would cause monoplegia and the striate would cause hemiplegia.

  • @ezydoc
    @ezydoc 2 роки тому +1

    Nice way of schematic presentation,no more problematic mixing up of the things.Each and everything thing is properly explained.Great love 💕

  • @winstonchurchill174
    @winstonchurchill174 2 роки тому +2

    Thanks for your patience teaching everyone...
    God bless you and can't thank you enough

  • @janakotherova5904
    @janakotherova5904 5 місяців тому

    I can't even say how helpful you are during my years of medicine, thank you so much for your work!

  • @Anneket100
    @Anneket100 Рік тому +1

    Great lectures! I love how details they are, easy to remember what you are teaching.

  • @adamguerra4936
    @adamguerra4936 2 роки тому +2

    helping me so much with Pathology and biochem, you are a true artist at what you do.

  • @arijitmandal3
    @arijitmandal3 2 роки тому

    One of the most conceptual video regarding stroke syndrome!! ❤️❤️

  • @kiraowens9107
    @kiraowens9107 6 місяців тому

    When he started talking about "prosopagnosia" watershed that disturbed me a bit, considering the fact that once I developed epilepsy (the first year) whenever I had a sezuire that fit the temporary senerio. I literally couldn't tell the difference between a human and a broomstick..... luckily that senerio doesn't fully happen anymore

  • @johnpeterlovingskiesporlas9856
    @johnpeterlovingskiesporlas9856 2 роки тому +4

    Thank you so much sir. I was able to pass the board exam because you are a best teacher and the way you explain the topic is very easy to understand

  • @drhapi5308
    @drhapi5308 2 роки тому +5

    Nice, this was gold for my Level 1 in 8 days.

  • @cjlevin4622
    @cjlevin4622 2 роки тому +5

    I hope you don't skip leg and back day my dude, because you're carrying me through my med school education.

  • @kmschu
    @kmschu 2 роки тому +2

    Wow, this was very informative and so helpful, thank you!! Obviously you explain the symptoms and how a patient would present given a lesion in one of these areas but do you have anywhere where you share case studies or questions where one would have to determine where the area affected is?

  • @AhmadAli-hy5py
    @AhmadAli-hy5py 2 роки тому +51

    This is a masterpiece I must say..
    The simplest and the most concise way ever to describe stroke syndromes.
    A huge fan of yours❤️
    Love from Pakistan.
    Keep inspiring us with more content👍

  • @SaptanshuThakur
    @SaptanshuThakur Місяць тому

    you are gold standard as far as teaching goes. love this video

  • @jadm460
    @jadm460 2 роки тому +14

    This came in time!

  • @Abcd-so1nk
    @Abcd-so1nk 2 роки тому +2

    I even send some general videos of ninja nerd to my friends and family
    Even though they r non-medico they understand you...
    Thank you zack

  • @hansnotsolo
    @hansnotsolo 2 роки тому

    perfect for my finals

  • @syindaa1263
    @syindaa1263 14 днів тому

    You're my lifesaver! Thank you so much 😭🙌

  • @mahendramehta8237
    @mahendramehta8237 День тому

    Sir..really great teaching and style too.

  • @stephanieng9976
    @stephanieng9976 2 роки тому +3

    this man singlehandedly getting me thru med school

  • @ntyuumamuyunda423
    @ntyuumamuyunda423 2 роки тому +1

    Thank you so much Prof.
    These videos are really helpful

  • @DilashaNeupane
    @DilashaNeupane 2 роки тому +3

    This has been the most helpful video ever for residency. Thank you SO much!

  • @francescaitta4775
    @francescaitta4775 3 місяці тому

    This is a huge work. Thank you to gift us with your knowledge. You are everything.

  • @jenniepolak9839
    @jenniepolak9839 2 роки тому +2

    THANK YOU!!! In Chiropractic school now- been watching since undergrad! Aced my neuroscience exam with your help !😊👍

  • @markgrenier6787
    @markgrenier6787 2 місяці тому

    I love watching all your videos I learned so much and it's made me a lot better bedside nurse in the ICU

  • @jarachirstenyatan8151
    @jarachirstenyatan8151 2 роки тому +4

    How Prof. Zach said "pee-pee" and "poo-poo" 😂 He really knows how to beat infos into our brains. Thank you so much!

  • @jonothancrooks520
    @jonothancrooks520 2 роки тому +2

    My only issue is that I can only subscribe and like this video once. Keep up the good work man. Appreciate it.

  • @jessicabenedict4734
    @jessicabenedict4734 3 місяці тому

    I know this is an old video but thank you so much for your videos. You make studying medicine more fun and easily to understand 😊

  • @Riihotshot
    @Riihotshot Місяць тому

    Omg!! God bless u soo muchh!! Worth each second I spend on ur vdos, Lovuu a lott my whole med school is done with help of ur vdos❤❤

  • @pramodhiyasanduniperera4616
    @pramodhiyasanduniperera4616 Рік тому +1

    thank you so much for your hard work and dedication. all your efforts are so so appreciated.

  • @zamirafroio2225
    @zamirafroio2225 4 місяці тому

    Love your videos. I am a fereign trained PT and you have helped me a lot with preparing for the NPTE

  • @ludvig5233
    @ludvig5233 2 роки тому +4

    i owe you so much

  • @YiShin-pf1dq
    @YiShin-pf1dq Місяць тому

    Alright time to study this STUDIUM MEDICINAE session!

  • @toka_mohd
    @toka_mohd 7 місяців тому

    i rarely comment on any video but Zach you are a BEAST
    thank you so much for your efforts in this video, seems like uve put so much work in it
    may god bless you

  • @Fucheeme
    @Fucheeme 2 роки тому +1

    Really needed this for my upcoming exams. Thank you

  • @user-ob9fs7wk1z
    @user-ob9fs7wk1z 7 місяців тому

    Currently studying for exams in my 4th semester of my MSOT degree. Immediately subscribed after "boom roasted"

  • @devjanihalder4683
    @devjanihalder4683 2 роки тому +2

    Have learnt more from your videos than my med school classes. Great explanation 💜💜💜💜💜💜

  • @babyandtiger_17
    @babyandtiger_17 2 роки тому

    It's really fun to watch this since I just watched the neurology playlist 🤩

  • @clemencemsagha5481
    @clemencemsagha5481 2 роки тому

    Sincerely you are blessed as a teacher. God bless you more. thankyou

  • @hanbiniesrozah4051
    @hanbiniesrozah4051 2 роки тому

    Not me recommending ninja nerd channel to all my friends in university :(
    God bless you sir, thanks for your hard work
    I'm in love with your channel plus all is free ?? You are an angel came to help out students literally :(

  • @priyankakrishnamsetty8032
    @priyankakrishnamsetty8032 3 місяці тому

    You are the genius and saviour of neuro❤

  • @KMH9459
    @KMH9459 27 днів тому

    This helped me a lot reviewing for my NPTE!!🎉 Let’s gooo

  • @PeterKimTX
    @PeterKimTX 2 роки тому +1

    Thanks for concisely explaining a tricky subject!

  • @LeoRox-ws6og
    @LeoRox-ws6og 6 місяців тому

    Thank you soooooo much! I got no words to thanks you! Much love from SL! You are truly a life saver! Im just weeks away from my finals and this really helped me out

  • @user-zf3ns4le4z
    @user-zf3ns4le4z 8 місяців тому

    You make understanding pathophys so much easier!

  • @rahmoh4145
    @rahmoh4145 2 місяці тому

    have no word to describe you .. just a very Huge thank you 🙏🙏🙏

  • @bharti756
    @bharti756 2 роки тому +1

    Thank you!! You ana yor team is doing really good job for medical students.

  • @weronikamaslowgorska6656
    @weronikamaslowgorska6656 4 місяці тому

    Its crazy this knowledge you give us is free! Thank you so much

  • @FasihaLatiff
    @FasihaLatiff Місяць тому

    Amazing video. Thanks!!

  • @user-nu7vc8lw5g
    @user-nu7vc8lw5g 2 роки тому +1

    that lecture is a splendid treasure of information.

  • @harshneetkaur7785
    @harshneetkaur7785 2 роки тому

    Best video ever so far for All Strokes👍 Thank you so much !! U Rock✌️

  • @josephjames3468
    @josephjames3468 Рік тому

    Hey Zack , THANK YOU for the lectures. Just a doubt, In ACA syndromes why is there weakness of upper limb ( even though the lower limbs will be weaker than upper limbs ) because as per sensory humunculus only the lower limb area of brain is affected in ACA syndromes ?

  • @mordithesheriff
    @mordithesheriff 5 місяців тому

    He's more excited he got to the end of this lecture more than me.. One of the worst topics i hate so much in med school. Great work though !

  • @albertchuma9858
    @albertchuma9858 Рік тому

    You make everything simple to understand, you are extraordinary.Wonderful artistic presentation.

  • @seanmason317
    @seanmason317 2 роки тому

    I had a burst aneurysm in my ACA a few years ago. One of my symptoms while healing was Ataxic Dysarthria, but only for maybe 20 minute sessions. It only appeared when in a stressful situation. Is this explainable?

  • @nakunaritai
    @nakunaritai 2 роки тому

    Opening up our neurointervention room in cath lab next week. Educate educate educate. Excited to restore brain function and improve qualities post-stroke.

  • @hudaimran6076
    @hudaimran6076 3 місяці тому

    You put soooo much effort into teaching us everything, You're amazing!

  • @murtazabohra5388
    @murtazabohra5388 Рік тому

    Thank you so much Zack .As always very useful !!

  • @muhammadirtaza9269
    @muhammadirtaza9269 Рік тому +1

    Can't figure out a way to give a million thumbs up!
    Hat's off to u guys. U r really doin' a fantastic job.

  • @starrynight3009
    @starrynight3009 2 роки тому

    thank you immensely professor

  • @irynamataleha2811
    @irynamataleha2811 2 роки тому

    i`m watching this during my summer break. huge respect from Ukraine!

  • @frankliotti9188
    @frankliotti9188 4 місяці тому

    This lecture is incredible. Thank you so, so much.

  • @carolinasalazar5019
    @carolinasalazar5019 2 місяці тому

    you are just extraordinary, thank you so much

  • @airamonicamillan7465
    @airamonicamillan7465 2 роки тому

    Thank you for sharing your knowledge. You are awesome!!!

  • @ashishsharma-uk2gq
    @ashishsharma-uk2gq 2 роки тому

    Best video on stroke syndrome. I have seen most of ur medicine videos. All are awesome

  • @suadudwan9275
    @suadudwan9275 Рік тому

    That should absolutely be the best video on UA-cam! Man you are such a genius!

  • @datpham1439
    @datpham1439 Місяць тому

    Can't go wrong with Ninja!

  • @jadm460
    @jadm460 2 роки тому +4

    So exited !!!!!!!!!!!!!!!!

  • @paolo6424
    @paolo6424 7 місяців тому +1

    Amazing as always! Just one question, why did you skip the thalamus in the PCA syndrome?

  • @VivekKumar-yk6ic
    @VivekKumar-yk6ic 2 роки тому +1

    Lots of love from India sir.. 💓💓💞you are a legend for us 🤘🤘

  • @radia-6201
    @radia-6201 2 роки тому

    AAAAAAAAAAAAAAAAAAAAA
    that's litterally how i feel
    I can't express my gratitude zach!

  • @fluffywithfaziii2947
    @fluffywithfaziii2947 2 місяці тому +2

    Sir there is no thalamus part in the pca syndrome 🥲seems to be skipped!!!!!

  • @lillyelshami7
    @lillyelshami7 22 дні тому

    Keep up man, that's amazing 🤩