J Korean Soc Emerg Med.  2018 Feb;29(1):100-104. 10.0000/jksem.2018.29.1.100.

A Case Report Hemiparesis Caused by Ipsilateral Middle Cerebral Artery Infarction

Affiliations
  • 1Department of Emergency Medicine, Soonchunhyang University College of Medicine, Gumi, Korea. 13744@hanmail.net

Abstract

As the corticospinal tract crosses at the medulla, supratentorial stroke generally influences the opposite extremity. However, new incidences of hemiparesis might occur in the ipsilateral brain if there was a previous infarction in the opposite brain or a congenital structural abnormality. The occurrence of ipsilateral hemiparesis after cerebral infarction is very rare; however, we report here the case of a patient who developed right hemiparesis that was identified as acute right middle cerebral artery infarction.

Keyword

Cerebral infarction; Pyramidal tracts; Paresis

MeSH Terms

Brain
Cerebral Infarction
Extremities
Humans
Incidence
Infarction
Infarction, Middle Cerebral Artery*
Middle Cerebral Artery*
Paresis*
Pyramidal Tracts
Stroke
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