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Medicine General ba7c2757

Hemiparesis is NOT a feature of:

A
Carotid aery occlusion
B
MCA occlusion
C
AC A occlusion
D
Veebral aery occlusion
High-Yield Explanation
Patients with veebral aery occlusion may present as posterior inferior cerebellar aery syndrome with cerebellar and brainstem signs such as dysahria, iplsilateral limb ataxia, veigo, nystagmus, ipsilateral Horner's syndrome, ipsilateral loss of pain and temperature of face, ipsilateral pharyngeal and laryngeal paralysis, contralateral loss of pain and temperature in limbs and trunk. Occlusion of stem of middle cerebral aery results in contralateral hemiplegia, contralateral hemianopia, contralateral hemianesthesia, aphasia, contralateral neglect and dressing difficulties. Occlusion of ACA, distal to anterior communicating aery result in contralateral leg weakness, contralateral leg sensory loss and urinary incontinence. Occlusion of ACA proximal to ACCA result in bilateral leg weakness, sensory loss, urinary incontinence, and frontal release signs. Ref: Laboratory Medicine in Psychiatry and Behavioral Science By Sandra A. Jacobson page 567.

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