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A patient presents with a nondominant hemispheric stroke in the middle cerebral artery territory. Which one of the following symptoms and signs would you not find on neurologic examination?

A. Hemi-inattention
B. Anosognosia
C. Right-left disorientation
D. Impaired prosody of speech
E. Visual and tactile extinction

1 Answer

1 vote

Final answer:

Impaired prosody of speech is not a typical symptom of a nondominant hemispheric stroke in the middle cerebral artery territory, whereas symptoms like hemi-inattention, anosognosia, right-left disorientation, and visual and tactile extinction are more commonly associated with such a stroke.

Step-by-step explanation:

The patient presents with a nondominant hemispheric stroke in the middle cerebral artery territory. Among the given symptoms and signs that you would not find on neurologic examination in such a case is impaired prosody of speech (option D). A nondominant hemispheric stroke, typically affecting the right hemisphere in right-handed individuals, can result in issues such as hemi-inattention (A), anosognosia (B), right-left disorientation (C), and visual and tactile extinction (E). However, impaired prosody, which refers to the rhythm, stress, and intonation of speech, is more commonly associated with dominant, usually left, hemispheric damage.

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