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A 62-year-old man has a sudden onset of involuntary swinging movements of his right arm. An ischemic injury to which of the following structures would most likely explain this sign?

  A
  B
  C
  D: That's correct! This is the subthalamus, part of the indirect pathway which, when injured, leads to a contralateral hemiballismus. Its blood supply is the paramedian branch of the posterior cerebral artery.
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