- Joined
- Nov 26, 2013
- Messages
- 1,352
- Reaction score
- 193
A 58 yr old man comes to the emergency dept due to sudden right-sided weakness. He has no sensory loss, problems speaking/swallowing, or difficulty with balance. The pt was previously told that he has elevated blood pressure but does not routinely follow up with his physician. His mother has coronary artery dz, and his father died of stroke. He takes no medications. Exam shows intact cranial nerves and sensory function. The patient has decreased strength (3/5) on his right side. Initial CT scan w/o contrast shows no abnormalities. Four weeks later, repeat brain imaging shows a 9 mm, lakelike cavitary lesion in the Lt. internal capsule. This pt's condition is most likely caused by which of the following?
A. Charcot-Bouchard aneurysm
B. Hypertensive arteriolar sclerosis
A. Charcot-Bouchard aneurysm
B. Hypertensive arteriolar sclerosis