STROKE TERRITORY:
Q. A
patient with left hemispatial neglect, left hemiparesis/hemisensory
disturbance, right head and gaze preference, left homonymous hemianopia, and anosognosia
most likely has an occlusion in the?
A) Right anterior cerebral artery
B) Right posterior cerebral artery
C) Right superior cerebellar artery
D) Right middle cerebral artery
E) None of the above
A) Right anterior cerebral artery
B) Right posterior cerebral artery
C) Right superior cerebellar artery
D) Right middle cerebral artery
E) None of the above
Ans: D
Right middle cerebral
artery: left hemispatial neglect, left
hemiparesis/hemisensory disturbance, left homonymous hemianopia, right head and
gaze preference, anosognosia
Left middle cerebral
artery: aphasia, right hemiparesis/hemisensory
loss, right homonymous hemianopia, left head and gaze preference
Right posterior
cerebral artery: left visual field defect, visual
neglect, left hemisensory
loss
Left posterior cerebral
artery: right visual field defect, alexia
without agraphia, poor color naming, right hemisensory loss
Vertebrobasilar distribution:
dizziness, nausea, vertigo, quadriparesis, crossed motor or sensory findings
(e.g., ipsilateral face, contralateral body), truncal or limb ataxia, visual
loss, impaired consciousness.
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