A 55-year-old man arrives at the office complaining of headaches that have worsened during the last two months. The throbbing headaches are commonly accompanied by nausea and increase anytime the patient coughs or bears down during a bowel movement. For episodic migraine without aura, medical history is important. A cystic mass is shown by gadolinium MRI of the brain, as demonstrated in the figure below: Which of the following findings is most likely to be seen on physical examination of this patient?

Question

A 55-year-old man arrives at the office complaining of headaches that have worsened during the last two months. The throbbing headaches are commonly accompanied by nausea and increase anytime the patient coughs or bears down during a bowel movement. For episodic migraine without aura, medical history is important. A cystic mass is shown by gadolinium MRI of the brain, as demonstrated in the figure below:  Which of the following findings is most likely to be seen on physical examination of this patient?

Quizplus · Accepted Answer

Eductional Objective: Through their linkages with the lateral descending motor networks, the cerebellar hemispheres are in charge of motor planning and coordination of the ipsilateral extremities. As a result, cerebellar hemisphere lesions are commonly associated with ipsilateral dysdiadochokinesia, limb dysmetria, and/or intention tremor.

A 55-Year-Old Man Arrives at the Office Complaining of Headaches