Answer BOF 6

 

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BOF 6

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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