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“UNIVERSIDAD ESTATAL DE GUAYAQUIL”

FACULTAD DE CIENCIAS MEDICAS


ESCUELA DE MEDICINA

Neuroanatomía

Docente: Dr. Pablo Ulloa

Estudiante: Daniel Aldaz Carvajal

CASO CLÍNICO 4

Grupo 8

Ciclo l 2020-2021
A 45-yearold man with a history of vertigo is brought to the emergency department
because of loss of consciousness after a fall. He appears mildly confused but is not in any
acute distress. Physical examination of the head shows blood behind the tympanic
membrane. A CT scan of the head shows a basilar skull fracture, with a fracture fragment
compromising the foramen rotundum. Which of the following will most likely result from the
patient's foremen rotundum injury?

A. Bleeding from the internal carotid artery

a. Bleeding with epidural hematoma formation

C. Ipsilateral deviation of the tongue

D. Sensory defects in the mid face

E. Sensory defects of the forehead

1. CUALES LA RESPUESTACORRECTA

I)O~t)e`Feoto s€T\sO\`:.uleb en Li cQ9-TCEL me6` cizz,?,~

2. POR QUE ES LA RESPUESTACORRECTA

qu pot qup' ,pot d Sorciyvl€h rotond,om o Forclmeft reAon6o /ri,c4$0~

prsc4 eJ nervro Tyio&.Ldr' , cugQ i`@u-vt\O coy\duce \^


\rn ioTtt`Gc,;orh sey\ct+\ua c\e ha co_ra melto ( Pcfty~PcidoJ i\hFe-
t\oT`e" ha me`o\lLu ; dot.Q,o ng POA.+a ci€ feA `rLCAric2 , ct lcp'b`\o

`uoer\`or , e*Ce )
3. POR QUE LAS DEMAS NO SON CORRECTAS EXPLIQUE TODAS

A{,~Salero!o 6q u ArterlQ core L`be \y\key`nLL: la Arte"'u


(ore ltS,a \\ulernd , flo+ie;^e r\u6o qu(``VeJr c®Li ct forG"@yi rofundrm

e8ho"rkeT`{ a ocgr8u PO\' e/\ Clqo\)e``O Yty8QCL&o.

p,¢-Sc|T) 9Tulo Con fc)thcldon 6e h@`lt`cj\+omo epc&urcgJo` ej>+o


sjcej\±€ Cu¢nd® On VO80 ScoJV\9Ut-h€o f€ rompr~ ci'`trp 1¢ ®urLiiFngflid,r€

lb e,l CL*ru'v\ej9.

G.-oeav,Gic`o-n -(pso hale+ch ct ho le^8uo®-es QFechad~ci


ct her,v;o hlpoQbtoso us\° ho eb ctEe~QJlcL&o en `eA+a
Fcocsot(-cl-

6o-t\e€echo s Sey`sor``ciha !e lci tre^+e.-°`n@vucLc¢.oM p®r


ecb,te ddt Ue~w,;© o€tal\mco, ou`o nervto grr&® pay Lth
-+``u`rfu o`r btho\`i`cl SUpQ,nco/'.

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