Multiple choice

A 67-years-old female has a stroke that impacts on her lateral thalamus and the adjacent white matter tract, the internal capsule. The loss of the internal capsule results in which of the following defects?

  1. Contralateral loss of vision

  2. Ipsilateral loss of hearing

  3. Contralateral loss of hearing

  4. Ipsilateral loss of descending skeletal motor control

  5. Contralateral loss of descending skeletal motor control

Reveal answer Fill a bubble to check yourself
E Correct answer
Explanation

Yes, it is correct. The internal capsule contains contralateral descending upper motor axons from the cortex to the brainstem and spinal cord (corticospinal, corticobulbar and corticopontine tracts). It also contains contralateral third or fourth order sensory axons from the thalamus to the cortex that carry general sensation (fine touch, proprioception, pain and temperature). The internal capsule does not contain axons for the special sensations of vision or hearing.