Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.



  • Gaze deviation with hemiparesis and aphasia is a cortical problem until proven otherwise.
  • In stroke, patients look toward the lesion.  In seizure, patients will look away from it.
  • Ipsi cranial nerve deficits with contra body deficits are brainstem lesions until proven otherwise.
  • Type A dissections that cause neuro symptoms usually lead to left-sided dysfunction.  The dissection takes out the innominate artery leading to right hemispheric damage.