phuluong2k
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A patient with long history of hypertention, after a stroke clinical examination shows
Urinary incontinence, the movements of the upper extremities are normal, he can execute a command to move his right arm, but can not execute a common to move his left arm
Which of the following artery is injured ?
a. middle cerebral artery
b. left posterior cerebral artery
c. right posterior cerebral artery
d. Anterior cerebral artery
e. Cerebellar artery
f. Basilar artery
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| trafficjam
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a i guess
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trafficjAm
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| trafficjam
Forum Newbie
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a i guess
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trafficjAm
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| Moctopod
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Hypertension :arrow: atherosclerosis :arrow: occlusive stroke
Well, the MCA is the most common artery occluded in strokes, but urinary incontinence usually results when the
Anterior cerebral artery
is affected. The apraxia of the left arm results if the anterior corpus callosum is also affected. You often get a motor disturbance of the contralateral distal leg and a motor speech problem as well.
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| phuluong2k
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you got the core of this q Moctopod 
This is due to anterior cerebral artery injury :arrow: Anterior corpus callosum damage
When you command the pateint, the wernicke language on the left hemisphere process the information :arrow: The patient can move right hand
Information from wernicke can not pass the injured anterior corpus callosum to go to the motor area on the right hemisphere :arrow: can not move the left hand, but not paralysis
It is transcortical apraxia
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