skip to main content

PCA Infarct – Macular Sparing — SCE Neurology MCQ

Instant feedback + full explanation. One question, done properly.

ModerateCerebrovascular DiseasePCA Infarct – Macular SparingSCE Neurology

A 62-year-old man with right PCA stroke has a right hemianopia with macular sparing. What anatomical feature explains the macular sparing?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: BOccipital pole has dual blood supply from PCA and MCA

Macular sparing in PCA strokes is explained by the dual blood supply of the occipital pole (macular representation) from both PCA and MCA branches. PCA occlusion spares the pole. A: Macula is in occipital cortex. C: LGN processes all visual input but cortical dual supply explains sparing. D: Calcarine sulcus does process macular vision. E: Bilateral representation exists but dual blood supply is the primary explanation.

Reference: Clinical Neuroanatomy