MRCP UK EXAMINATIONS

NEUROLOGY

SPASTIC PARAPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Occlusion of the MCA results in which manifestation(s)?
A
Spastic paresis of the contralateral lower face and upper limb
B
Anesthesia of the ipsilateral face and upper limb [contralateral]
C
Paresis of the contralateral lower limb [occlusion of ACA]
D
All of the above
Explanation: 

Detailed explanation-1: -The MCA is by far the largest cerebral artery and is the vessel most commonly affected by cerebrovascular accident (CVA). The MCA supplies most of the outer convex brain surface, nearly all the basal ganglia, and the posterior and anterior internal capsules.

Detailed explanation-2: -Classic signs of an ACA stroke are contralateral leg weakness and sensory loss. Be sure to evaluate lower-extremity strength and sensation. Keep in mind that behavioral abnormalities and incontinence also may occur.

There is 1 question to complete.