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A 78-year-old female patient presents with sudden onset
violent, flinging movements involving the right side of her body. On examination
she is conscious and alert, there is no speech defect and her vision is intact.
The limbs are difficult to examine because of the abnormal movements, which are
present at rest, but there does not appear to be an impairment of tone, power or
reflexes.
The site of the neurological lesion is likely to be:
a)
Red nucleus
b)
Substantia nigra
c)
Amygdala
d)
Subthalamic nucleus
e)
Globus pallidus
Answer:
d)
The patient has hemi-ballism, which is caused by a lesion
in the subthalamic nucleus
Last Updated: 19/02/06
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