Speaking difficulty and left sided paralysis (553/1700)

A 69yo woman has had a stroke. Her left upper and lower limbs are paralyzed and she is having
difficulty in speaking. Which anatomical site is most likely affected?
a. Hippocampus
b. Cerebellum
c. Internal capsule
d. Thalamus
e. Brain stem
































answer: C

Internal capsule :
speech difficulty and contralateral hemiparesis

Midbrain (Weber) :
Ipsilateral CN3 palsy and contralateral hemiparesis

Medulla (left medullary syndrome) :
Ipsilateral Horners, loss of pain and temp. on upper face
Contralateral loss of pain and temp. on body

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