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a woman age 65 presents with sudden onset weakness lateralized to the right side

ID: 56990 • Letter: A

Question

a woman age 65 presents with sudden onset weakness lateralized to the right side, confusion, trouble speaking, and a severe headache before loosing conciousness. there is a significant cognitive impairment, with compulsive mimicking of facial gestures and instinctive prehensile,grasping and sucking reflexes. despite the cognitive impairment,language comprehension appears intact, however when asked questions her response are confusing .when asked to describe the events depicted on a series of cards that tell the story of an accident, her response is "car...bump...BOOM!" what is the most likely etiology? does she present with symptoms of s specific clinical disorder.

Explanation / Answer

Etiology

Embolus of left cerebellar artery which leads to ischemic stroke followed by acute cerebral vessel infaraction with dysphagia, right hemiplagia, Broca's aphasia and frontal lobe sequalae.

Clinical disorder

Right Hemiplegia Paralysis