A 58-year-old gentleman presented with gradually progressive left hand weakness for one year. Left leg dragging and dysarthria developed 3months before visiting our neurology clinics. Neurological examination revealed muscle atrophy without fasciculation in the left first dorsal interosseous and triceps brachii muscles. Left spastic hemiparesis with exaggerated jaw jerk and flaccid dysarthria w...

Ipsilateral hemiparesis is rare after a supratentorial stroke, and the role of reorganization in the motor areas of unaffected hemisphere is important for the rehabilitation of the stroke patients. In this study, we present a patient who had a subclinical remote infarct in the right pons developed ipsilateral hemiparesis and contralateral lower limb paresis caused by a new infarct in the left a...

Cerebral venous thrombosis (CVT) is infrequent among cerebrovascular diseases. The simultaneous thrombosis involving both cerebral artery and venous sinus is even extremely rare. We reported a 41-year-old woman who presented with acute headache and left hemiparesis due to concomitant arterial ischemic stroke and recurrent CVT. Extensive investigation disclosed acquired protein C and protein S d...

*Senior Resident, **Professor, ***Consultant Radiologist, Department of Neurology, Sawai Man Singh Medical College, Jaipur 302 004, Rajasthan Received: 02.07.2012; Revised: 02.02.2013; Accepted: 24.04.2013 A 22 year female, 3 weeks post-partum presented with acute onset severe headache, vomiting, generalized tonic clonic seizure, and right hemiparesis which progressed over f ive days . Clinical...

Background and Purpose—Ever since the seminal description of ataxic hemiparesis contralateral to a pontine lesion by Miller-Fisher, the question of why contralesional crossing pontocerebellar fibers do not more frequently produce ipsilesional hemiataxia was raised. The few cases of “quadrataxic hemiparesis” or bilateral leg ataxia remain exceptions. Summary of Case—We report an even more unusua...

lesion or by secondary damage to the cerebral peduncle contralateral to the lesion, a so-called Kernohan-Woltman notch phenomenon (KWNP). A possible mechanism of ipsilateral hemiparesis is that morphological changes in the brainstem associated with KWNP are accompanied by irreversible damage to the adjacent corticospinal tract (CST).1-3 A few reports dealing with the acute and sub-acute stages ...

We describe a 72-year-old man who presented with left hemiparesis due to acute cerebral infarction in the right fronto-temporal lobe. Three months prior to admission, he was hospitalized for right hemiparesis due to the acute cerebral infarction in the left anterior cerebral artery territory. To investigate the cause of his recurrent embolic event, a chest computed tomography scan and echocardi...

THE CLINICAL PICTURE of hypertensive pontine hemorrhage is felt to be uniform. Coma is of abrupt onset with pupillary miosis, total external ophthalmoplegia, and quadriplegia. Death is the rule and occurs within hours to days. 2 This picture has been somewhat modified since the advent of CT scanning. Case reports have documented "submassive" pontine hemorrhage with partial to complete recovery....

Ten patients with ischaemic stroke were treated with prostacyclin (2.5-5.0 ng/kg/min i.v. in 6 h courses 4-10 times during 1-2.5 days). In all patients a dramatic regression of hemiplegia, or hemiparesis, or aphasia occurred in the first few hours of prostacyclin infusion. Four to eight weeks later 6 patients left the clinic without neurological deficit; 3 patients had minor residual hemiparesi...

Acute hemiparesis in children is a common clinical syndrome presenting to a variety of care settings. The recognition and the differential diagnosis is challenging, particularly in young children. Arterial ischaemic stroke (AIS) is the primary diagnosis to be considered as this requires emergency investigations and management; however, there are several conditions collectively described as 'str...