Case 43 Answers

Basic Human Neuroanatomy

A Clinically Oriented Atlas

Case 43 Answers

1. What is the localizing significance of this patient’s sensory examination? What types of sensory modalities were impaired?

Cortical sensory deficit – Right superior parietal lobule (areas 5, 7)

2. Damage to what area of the brain produces an impairment of the sensory modalities involved in this case?

Right superior parietal lobule (areas 5, 7)

3. What other structures are involved in this case? Where would you localize the lesion in this case? Indicate the side of the brain involved.

Right precentral gyrus, probably affected by cerebral edema.
Right superior parietal lobule (areas 5, 7)

4. In general, what type of pathologic process was involved in this case?

Neoplastic – lung cancer metastasis. (DDx: Infectious)

5. What diagnostic procedure(s) would you undertake at this point?

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