Question

A 79-year-old woman comes to the psychiatry clinic for evaluation. The patient states that she has a need to check things all the time. For example, when she goes to bed she has to return several times to the main door of her house to check that the door was locked. On further interview she tells you that these symptoms started after a stroke a year ago. Prior to that she never had these symptoms. Where is the lesion most likely located?

A. Left occipital lobe
B. Right occipital lobe
C. Anterior cingulate cortex
D. Orbitofrontal cortex bilaterally
E. Putamen

Answer 1

The lesion in the patient is most likely located in the right occipital lobe.

Step-by-step explanation:

The lesion in the patient is most likely located in the B. Right occipital lobe. The symptoms of the patient, such as the need to check things all the time, are consistent with obsessive-compulsive disorder (OCD), which can be caused by damage to the frontal-striatal circuit in the brain. The right occipital lobe is a part of this circuit and plays a role in regulating behavior and impulse control.