A 65-year-old man is sent to the emergency room with extreme right-sided weakness and slurred speech. He is also suffering from a strong headache and nausea. For poorly managed hypertension and persistent cigarette use, medical history is important. The blood pressure is 240/120 mm Hg, and the pulse rate is 104 bpm. The patient is sluggish on physical examination, with right hemiparesis and lower facial weakness, right hemisensory loss, and dysarthria. The picture below depicts a noncontrast CT scan of the head. Which of the following cerebral blood vessels is most likely affected in this patient?

Question

A 65-year-old man is sent to the emergency room with extreme right-sided weakness and slurred speech. He is also suffering from a strong headache and nausea. For poorly managed hypertension and persistent cigarette use, medical history is important. The blood pressure is 240/120 mm Hg, and the pulse rate is 104 bpm. The patient is sluggish on physical examination, with right hemiparesis and lower facial weakness, right hemisensory loss, and dysarthria. The picture below depicts a noncontrast CT scan of the head.  Which of the following cerebral blood vessels is most likely affected in this patient?

Quizplus · Accepted Answer

Eductional Objective: The most common cause of spontaneous deep intracerebral bleeding is hypertensive vasculopathy involving the tiny, penetrating branches of the main cerebral arteries. The basal ganglia (putamen), cerebellar nuclei, thalamus, and pons are the most commonly afflicted areas. The lenticulostriate arteries, which are deep, tiny artery branching from the main cerebral arteries, supply the putamen.

A 65-Year-Old Man Is Sent to the Emergency Room with Extreme