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MBBS
QUESTION #10165
Question 1
A patient with a stroke affecting the posterior limb of the internal capsule develops contralateral spastic hemiparesis. Which descending pathway is predominantly affected at this site?
Correct Answer Explanation
Corticospinal fibers from the motor cortex converge and pass through the posterior limb of the internal capsule before decussating in the medullary pyramids; a lesion here produces contralateral spastic (upper motor neuron) hemiparesis.
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