Right sided weakness, left sided blindness (64/1700)

A 56yo man comes with hx of right sided weakness & left sided visual loss. Where is the
occlusion?

a. Ant meningeal artery
b. Mid meningeal artery
c. Mid cerebral artery
d. Carotid artery
e. Ant cerebral artery
f. Ant communicating artery

























answer: D

Carotid Artery occlusion:
Typical symptoms are contralateral weakness or sensory disturbance, ipsilateral
blindness
, and (if the dominant hemisphere is involved) dysphasia, aphasia or speech
apraxia.

Middle cerebral artery occlusion: paralysis or weakness of contralateral
face and arm
(faciobracheal). Sensory loss of the contralateral face and arm.

Anterior cerebral artery occlusion: paralysis or weakness of the
contralateral foot and leg
. Sensory loss at the contralateral foot and leg.

Lateral medullary syndrome
The most commonly affected artery is the Vertebral artery, followed by the Posterior inferior cerebral artery, superior middle and inferior medullary arteries.
-loss of pain/temp on one side of the face, loss of pain/temp on opposite side of body + horners syndrome



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