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Medicine

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Neurology

Question
14 out of 27
 

Which of the following is not a usual feature of right middle cerebral artery territory infarct: (AIIMS Nov 2010)



A Aphasia.
B Hemiparesis.

C Facial weakness.
D Dysarthria.

Ans. A

Aphasia

Middle cerebral artery – It supplies the lateral surface of cerebrum.

Except

1). Frontal pole & strip of cortex which is supplied by ACA

2). Lower temporal and occipital pole which is supplied by PCA.

3). In the sylvian fissure it divides into superior & Inf. division.

Occlusion of middle cerebral artery

Signs & Symptoms

Structures involved

1). Paralysis of contralateral Face, arm, leg

1). Somatic motor area for face & arm, Leg (Descending Fibers of leg area)

2). Sensory loss of face, arm, leg

2). Somatic sensory area

3). Motor aphasia (Broca’s aphasia) (sup div of MCA)

3). Motor speech area of left frontal lobe

4). Gerstmann syndrome (Acalculia, agraphia, finger anomia & right – left confusion)

4). Dominant parietal cortex.

5. Anosognosia, hemineglect, dressing apraxia, constructional apraxia, spatial agnosia (L)

5). Non dominant parietal cortex.

6). Homonymous hemianopia

6). Optic radiations deep to second temporal convolution

7). Paralysis of conjugate gaze to opposite side

7). Frontal eye field.

8). Sensory (Wernicke’s aphasia)

8). Sensory speech area of dominant hemisphere (temporal) (Inf. div. of MCA).

Neurology Flashcard List

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