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 Best of Five 86

 

   

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BOF: 86

A 32-year-old female who has had surgery on her cervical spine following a car accident presents with sudden onset of left-sided weakness.  The weakness developed when she looked up whilst bending to pick up an object. On examination she has a hemiplegia affecting the left face arm and leg. She also has unilateral internuclear ophthalmoplegia with failure of adduction to the left and nystagmus to the left. She also has early papilloedema. In this patient MRI shows:

a)      Right mid brain infarct

b)      Left mid brain infarct

c)      Right pontine infarct

d)      Left pontine infarct

e)      Lateral medullary syndrome

 

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