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A Right-Handed 43-Year-Old Woman Is Assessed in the Clinic for Increasingly

Question 247

Multiple Choice

A right-handed 43-year-old woman is assessed in the clinic for increasingly deteriorating neurologic complaints. The patient has diabetes and hyperlipidemia, for which she takes metformin and a statin. There is no history of brain trauma or seizures in her family. The patient consumes wine on occasion but does not use cigarettes or illegal substances. Her mother has a family history of migraines. An MRI of the brain is acquired, as illustrated in the figure below: A right-handed 43-year-old woman is assessed in the clinic for increasingly deteriorating neurologic complaints. The patient has diabetes and hyperlipidemia, for which she takes metformin and a statin. There is no history of brain trauma or seizures in her family. The patient consumes wine on occasion but does not use cigarettes or illegal substances. Her mother has a family history of migraines. An MRI of the brain is acquired, as illustrated in the figure below:   This patient is most likely to have which of the following additional findings? A) Bitemporal visual field defects B) Hand weakness and spasticity C) Lower limb sensory loss and hemineglect D) Tinnitus and unilateral hearing loss E) Unilateral ptosis and gaze palsy This patient is most likely to have which of the following additional findings?


A) Bitemporal visual field defects
B) Hand weakness and spasticity
C) Lower limb sensory loss and hemineglect
D) Tinnitus and unilateral hearing loss
E) Unilateral ptosis and gaze palsy

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