03-08-2006, 03:26 AM
a 68 yr old
comes to er
onset of weakness
double vision
hx of htn and hyperlipidemia
on metoprolol, captopril
bp is 192; 106
neuro; lt sided facial weakness including forehead
paralysis of left conjugata gaze
failure to adduct
vertical eye movement is ok
muscle strength 3/5 rt upper and lower extremities
deeptendon brisk rt side
babinski positive in rt side
where is the location of lesion?
1 bilateral thalamus
2. left frontal
3, rt caudate
4 rt midbrain
comes to er
onset of weakness
double vision
hx of htn and hyperlipidemia
on metoprolol, captopril
bp is 192; 106
neuro; lt sided facial weakness including forehead
paralysis of left conjugata gaze
failure to adduct
vertical eye movement is ok
muscle strength 3/5 rt upper and lower extremities
deeptendon brisk rt side
babinski positive in rt side
where is the location of lesion?
1 bilateral thalamus
2. left frontal
3, rt caudate
4 rt midbrain