A 70-year-old man with hypertension and no prior stroke history presents with sudden onset wild flinging movements of his left arm and leg. Vital signs show BP 158/92 mmHg, HR 88/min, RR 16/min, temperature 37°C, SpO2 98% on room air. MRI reveals a small acute infarct in the right subthalamic nucleus. Serum glucose is 118 mg/dL. He denies sensory loss or weakness. Which of the following structures was most likely damaged?
- A)Cerebellar vermis
- B)Substantia nigra pars compacta
- C)Subthalamic nucleusGABARITO
- D)Red nucleus
- E)Caudate nucleus
Explicação
Hemiballismus is caused by a lesion of the contralateral subthalamic nucleus producing violent flinging movements. Ver explicação completa e trilha adaptativa →