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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

2

DOES FRONTOL LOBE IS FOR DOUBLE VISION TOO

I BELIEVE IN YOUR ANS BECAUSE I DO NOT SHE OTHER CHOICES

i am not sure . anybody else

maybe left pontine

SORRY

LT PONTINE WAS ALSO ONE OF THE CHOICE I FORGOT PRINTING

ABHISHEK COULD U RETHINK YOUR ANS

4 rt midbrain

HOW CAN RIGHT MIDBRAIN GIVE RT HEMIPLEGIA. THEY CROSS.

pontine it is...vertical gaze intact....thinking thinking...i think its pontine if the options there....

left pons