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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?
  • Corticospinal (pyramidal) tract✔️
  • Lateral spinothalamic tract
  • Dorsal column-medial lemniscus pathway
  • Vestibulospinal tract
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.