Cerebrovascular Anatomy 02

Topic: Anatomy

Created on Friday, October 12 2007 by jdmiles

Last modified on Friday, October 12 2007.

 
        A) Global aphasia
 
        B) Hemiparesis which affects the lower extremity more than the upper extremity
 
        C) Hemineglect
 
        D) Balint syndrome
 
        E) Hemiparesis which affects the upper extremity more than the lower extremity
 

 

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This question was created on October 12, 2007 by jdmiles.
This question was last modified on October 12, 2007.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS

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A) Global aphasia

This answer is incorrect.

The arrow in this gadolinium bolus MR angiogram indicates the left anterior cerebral artery. An occlusion of this vessel would produce hemiparesis of the lower extremity, sparing the face and upper extremity.  (See References)

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B) Hemiparesis which affects the lower extremity more than the upper extremity

This answer is correct.

The arrow in this gadolinium bolus MR angiogram indicates the left anterior cerebral artery. An occlusion of this vessel would produce hemiparesis of the lower extremity, sparing the face and upper extremity.  (See References)

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C) Hemineglect

This answer is incorrect.

The arrow in this gadolinium bolus MR angiogram indicates the left anterior cerebral artery. An occlusion of this vessel would produce hemiparesis of the lower extremity, sparing the face and upper extremity.

Hemineglect is seen in people with lesions of the left parietal cortex. 

  (See References)

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D) Balint syndrome

This answer is incorrect.

The arrow in this gadolinium bolus MR angiogram indicates the left anterior cerebral artery. An occlusion of this vessel would produce hemiparesis of the lower extremity, sparing the face and upper extremity.

Balint syndrome (a constellation including psychic paralysis of gaze, optic ataxia, and visual inattention) is associated with bilateral lesions in the parietal-occipital vascular border zones. 

  (See References)

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E) Hemiparesis which affects the upper extremity more than the lower extremity

This answer is incorrect.

The arrow in this gadolinium bolus MR angiogram indicates the left anterior cerebral artery. An occlusion of this vessel would produce hemiparesis of the lower extremity, sparing the face and upper extremity.  (See References)

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References:

1. Sandhu, J.S., and Wakhloo, A.K. (2004). Neuroangiographic anatomy and common cerebrovascular diseases. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 625-643 (ISBN:0750674695).	Advertising:
2. David L. Felten, Ralph F., Md. Jozefowicz, Frank H., Md. Netter, . . ICON Learning Systems (ISBN:1929007167)	Advertising:
3. Duane E. Haines; special contributions by John A. Lancon; illustrator, M. P. Schenk; photographer, G. W. Armstrong. Neuroanatomy: an atlas of structures, sections, and systems. Philadelphia : Lippincott Williams & Wilkins, c2004. (ISBN:0781746779)	Advertising:

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anatomy
Cerebrovascular Anatomy 02
Question ID: 101207048
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 10/12/2007
Modified: 10/12/2007
Estimated Permutations: 1800