09-29-2006, 06:36 PM
82 yr old woman has become increasingly disoriented over the past year. She is pleasant and attempts to be cooperative. She performs poorly on a Mini-Mental State examination. Pulse is 80/min, and blood pressure is 160/90 mm Hg. MRI of the head shows small lacunar lesions predominantly in the lenticulostriate arteries of the internal capsules and in other widely disparate regions of both cerebral cortices. Which is the most likely explanation for these findings?
a. dementia, Alzheimer™s type
b. Huntington™s disease
c. Multi-infarct dementia
d. Multiple sclerosis
e. Parkinsonism
a. dementia, Alzheimer™s type
b. Huntington™s disease
c. Multi-infarct dementia
d. Multiple sclerosis
e. Parkinsonism