Case 131

 A seventy seven-year-old female fell down from the bicycle during cycling. She was transported by an ambulance car to the local emergency hospital. Medical findings revealed right hemiparesis: Glasgow coma scale 13 (E4V3M6). Past illness history revealed she had hypertension, gall bladder stone, and brain infarction several years ago. She received operation for right breast cancer. She underwent brain CT (Fig.1) and twenty nine days later, she was transported to obtain rehabilitation in our hospital. She underwent brain MRI (Fig.2), indicating left brain hemorrhage at left putamen and thalamus.

What artery is responsible to the hemorrhage of the left putamen and the left thalamus ?

1. Left anterior cerebral artery

2. Left middle cerebral artery

3. Left posterior cerebral artery

4. 1 + 2

5. 2 + 3

answer

2018.11.28