Felix, a 54-year-old masonry contractor, has been complaining for the past three months about increasing arm weakness and that it is becoming more difficult to pick up and use his tools. he has recently been stumbling at his work site and his speech is, at times, difficult to understand because of poor word choices. he has also had worsening memory and forgot how to install a granite lamp post at a client’s house. the last straw that forced him to make a neurology appointment was when he dropped his hammer drill onto his right foot and fractured the cuboid and navicular bones.

a neurological examination uncovered the following results:

bilateral rapid eye movement at rest

slurred speech

difficulty swallowing

overshoot on finger-to-nose test

failed romberg balance test

student questions:

1. identify three regions of the central nervous system that may be compromised.

2. connect three remarkable signs/symptoms with the proper clinical terms.

3. provide a primary diagnosis and a possible lesion type (e. g. what anatomical problem is causing the

4. present one treatment option for this patient. include a brief explanation.