Case 206

 An eighty five-year-old female presented in our hospital by ambulance for being unable to speak clearly from this morning. Blood pressure 181/76mmHg. Japan Coma Scale I-2, Glasgow Coma Scale E4/V4/M6.
 Neurological test; right Barre’s sign, positive; right Mingazzini test; positive, speech mild dysarthria; right hemiparesis: mild rt. facial palsy.
 Laboratory test revealed fibrinogen 578.6 mg/dL, WBC 5800/mm³, CRP 1.1 mg/dL, BUN 27.1 mg/dL, BNP 22.4 pg/mL.
 She received brain MRI for further examination (Figs 1, 2).

What is responsible artery for acute brain infarction?

1.　Medial lenticulostriate artery

2.　Lateral lenticulostriate artery

3.　Posterior cerebral artery

4.　Vertebral artery

5.　Anterior choroidal artery

answer

2020.9.30