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Old 08-21-2011
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Neuro cerebral artery infarct

A 65 year old man presents with hemiparesis of his left face and arm and inability to speak. He has gaze preference to the left side. On further exam, his inability to speak is determined to be Broca's aphasia. What has likely happened to this patient?
A. Infarct of the middle meningeal artery
B. Infarct of the vertebrobasilar artery
C. Infarct of the anterior cerebral artery
D. Infarct of the middle cerebral artery
E. Infarct of the posterior cerebral artery
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Old 08-21-2011
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c not sure
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Old 08-21-2011
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Middle Cerebral...
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Old 08-21-2011
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Infarct of Blood supply by Middle cerebral artery
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Old 08-21-2011
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brocas area supplied by middle cerebral art.. ans D
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agree with d
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Old 08-21-2011
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so...he is a left hander? - because of the left face and arm hemiparesis + aphasia...
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Quote:
Originally Posted by bebix View Post
so...he is a left hander? - because of the left face and arm hemiparesis + aphasia...

you see it could be a double infarct, since the question states:

Left face and arms : means that its the RIGHT MCA ( contralateral)

but then his Eyes move to the LEFT , hence LEFT MCA ( conjugate deviation to the effected side)..

and For Broca's Aphasia to occur , it must be the dominant side, which is the left hemisphere ( 90% right handed, 70% left handed individuals)

so techinically he could be still be any handed.
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Old 08-21-2011
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D seems most probable answer
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Old 08-22-2011
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D. middle cerebral artery
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Old 08-22-2011
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Quote:
Originally Posted by ricko335 View Post
A 65 year old man presents with hemiparesis of his left face and arm and inability to speak. He has gaze preference to the left side. On further exam, his inability to speak is determined to be Broca's aphasia. What has likely happened to this patient?
A. Infarct of the middle meningeal artery
B. Infarct of the vertebrobasilar artery
C. Infarct of the anterior cerebral artery
D. Infarct of the middle cerebral artery
E. Infarct of the posterior cerebral artery
C. Infarct of the anterior cerebral artery
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the correct answer is middle cerebral artery
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  #13  
Old 11-18-2014
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Correct Answer

MCA Occlusion leads to "MCA ABC"

Memory Impairment
Calculation Impairment
Aphasia
Apraxia
Blindness(contralateral Homonymous Hemianopsia)
Contralateral Clumsiness of Face and Arm (leg spared usually).....

So answer is MCA
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