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lord [1]
3 years ago
10

A 72-year-old man with a long standing history of inadequately controlled hypertension and type II diabetes presents with sudden

onset of slurred speech and difficulty swallowing. His examination is significant for marked dysarthria and limb ataxia affecting the right arm and right facial weakness. Which of the following is the most likely location of the lesion responsible for these symptoms?
A. amygdala
B. left occipital lobe
C. left pons*
D. left thalamus
E. right caudate
Medicine
1 answer:
Vinil7 [7]3 years ago
4 0

Answer: The answer is <u>C; left pons</u>.

Explanation:

The patient presents with the symptoms that are common with dysarthria-clumsy hand syndrome. This is one of the lacunar stroke syndromes where dysarthria is common. A x-ray or other imaging would reveal lesions in the contralateral pons.

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The effects of a right hemisphere stroke may include: Left-sided weakness or paralysis and sensory impairment. Denial of paralysis or impairment and reduced insight into the problems created by the stroke (this is called "left neglect") Visual problems.

<h3>What is impacted by a stroke in the right hemisphere?</h3>

A right hemisphere stroke may result in sensory impairment and left-sided weakness or paralysis. Denial about paralysis or impairment as well as diminished awareness of the problems caused by the stroke are referred to as "left neglect." Visual issues., such as an inability to see each eye's left visual field.

<h3>Does a stroke on the right side impact speech?</h3>

Speech and communication issues are typically seen in right-brain injured stroke survivors. Because of their weak or uncontrolled left side facial and mouth muscles, many of these people have trouble pronouncing spoken sounds correctly. Dysarthria is the term for this.

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