Question

70 y/o F sudden onset paralysis R foot and leg. R arm and hand lightly affected. No aphasia or visual field deficit. Over weeks found with loss bladder control, abulia and lack of spontaneity. Which vascular area:

Answer 1

The symptoms described suggest a vascular lesion in the left hemisphere of the brain, specifically in the middle cerebral artery distribution. This lesion is likely causing frontal lobe dysfunction, which is resulting in the loss of bladder control, abulia, and lack of spontaneity.

Step-by-step explanation:

The symptoms described in the question suggest a vascular lesion in the left hemisphere of the brain. Specifically, the loss of bladder control, abulia (lack of willpower or initiative), and lack of spontaneity are indicative of frontal lobe dysfunction. The paralysis of the right foot and leg, as well as the lightly affected right arm and hand, suggest a lesion in the middle cerebral artery distribution, which supplies the lateral aspect of the cerebral hemisphere.