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what is the diagnosis - dmcmd
#1
A 75-year-old man with a history of recent memory impairment is admitted with a headache, confusion, and a left homonymous hemianopsia. He has recently experienced two episodes of brief unresponsiveness. There is no history of hypertension. CT scan shows a right occipital lobe hemorrhage with some subarachnoid extension of the blood. MRI scan with gradient echo sequences reveals foci of hemosiderin in the right temporal and left frontal cortex. The likely cause of the patientâ„¢s symptoms and signs is ?

Options:

1. Gliomatosis cerebri
2. Multi-infarct dementia
3. Mycotic aneurysm
4. Amyloid angiopathy
5. Undiagnosed hypertension

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#2
amyloid angiopathy most common cause of bleeding in elderly patients and normally in watershed areas
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#3
4 is correct
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