Pontine Syndromes

Neuroanatomy > Brainstem > Syndromes

Q. A 72-year-old man presents with slurred speech and clumsiness of his right hand. On neurologic exam, he has weakness in the lower face and arm on the right, with normal strength in the right leg. His gag reflex is intact. Which of the following best explains this patient's symptoms?

Lesion in the contralateral corticospinal tract at the cervical spinal cord

Lesion in the left internal capsule involving all corticospinal fibers

Small infarct in the paramedian basis pontis on the left

Bilateral lesion of the medial medulla

Lesion in the midbrain tegmentum involving the red nucleus

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