A 75-year-old woman is evaluated in the emergency department due to sudden-onset weakness in the left side of the body. She can speak but has an abnormality in pronouncing the words properly. Blood pressure is 165/95 mm Hg and pulse is 75/min. On physical examination, the power is 2/5 in the upper and lower left extremities. When she is asked to protrude her tongue, it deviates to the right. Which of the following is the site of injury in this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: A medial medulla stroke would lead to contralateral motor weakness, with ipsilateral tongue weakness. This would manifest with tongue deviation toward the weak side.

A 75-Year-Old Woman Is Evaluated in the Emergency Department Due