Stroke

Question 1

3) Middle aged man with history of alcohol abuse, awakens to find weakness in right arm. Weak on elbow extension, finger and wrist extension as well. Possible cutaneous sensory loss in similar regions. Diagnosis?

Answer 1

Saturday night palsy: compression of radial nerve usually at the spiral groove at mid-humerus

Question 2

7) Elderly patient post-op day 10 from a hip surgery presents with new onset sensory neglect and inferior quadrantanopsia. Diagnosis? Localization? Treatment?

Answer 2

MCA inferior branch stroke affecting the R parietal region causing hemispatial neglect of the non-dominant spacial hemisphere (left).
TPa is contraindicated in a patient within 14 days of a major surgery.
Sit and wait