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Showing posts from December, 2020

DECEMBER EXAM

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1) A 55 year old man with Recurrent Focal Seizures Detailed patient case report here:  http://ushaindurthi. blogspot.com/2020/11/55-year- old-male-with-complaints-of. html 1. What is the problem representation of this patient and what could be the anatomical site of lesion ? ANS) 55yr old man,  maestri by occupation who is an alcoholic(30yr's),diabetic(5yr's) has GTCS for 2min followed by multiple episodes of Focal seizures of right upper limb and right lower limb with uprolling of eye balls and post i ctal confusion Anatomical site:Left front parietal cortex 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? ANS) The blood supply of the internal capsule is variable but is commonly from small perforating branches of the  middle cerebral artery  and  anterior cerebral artery . These include the lateral  lenticulostriate arteries  and the recurrent artery of Heubner respectively  . An  internal capsule stroke  is caused by interruption of blood