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Recurrent ipsilateral hemiparesis in a patient with both uncrossed corticospinal tracts and reorganization of cortical motor areas - An opportune visitation of the motor tracts.
- Source :
-
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2021 Apr; Vol. 86, pp. 139-144. Date of Electronic Publication: 2021 Feb 04. - Publication Year :
- 2021
-
Abstract
- We report the case of a patient who experienced recurrent ipsilateral hemiparesis in the setting of predominantly-uncrossed corticospinal tracts, with concomitant neuronal reorganization of the cortical motor maps, and the presence of aberrant interhemispheric connections. Their presence was supported by our results from diffusion tensor imaging tractography, functional magnetic resonance imaging, and transcranial magnetic stimulation. To our knowledge, this has never been reported before, and provides valuable insights into the mechanisms behind post-stroke motor recovery.<br />Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br /> (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Subjects :
- Diffusion Tensor Imaging methods
Female
Humans
Magnetic Resonance Imaging methods
Middle Aged
Motor Cortex physiopathology
Paresis etiology
Paresis physiopathology
Pyramidal Tracts physiopathology
Recurrence
Stroke complications
Stroke physiopathology
Motor Cortex diagnostic imaging
Paresis diagnostic imaging
Pyramidal Tracts diagnostic imaging
Stroke diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2653
- Volume :
- 86
- Database :
- MEDLINE
- Journal :
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
- Publication Type :
- Report
- Accession number :
- 33775318
- Full Text :
- https://doi.org/10.1016/j.jocn.2021.01.022