The NeuroBowl-Neurology Today Case Challenge
Hypertensive Smoker with Left-sided Weakness
Solve this Case!
A 57-year old man with a history of hypertension and smoking had a two- hour history of left-sided weakness and numbness. In the emergency department, his blood pressure was 260/130 and he suddenly became less responsive. His eyes were skewed. There was no movement of the right eye; the left eye was able to abduct only. His left arm and leg were weak.
Where would you localize this? See the images below for guidance. What tracts/nuclei were lesioned to produce these ocular findings in this patient?”
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Dr. Patel is a neurology resident at the Medical College of Georgia.