Ann Rehabil Med.  2019 Jun;43(3):352-354. 10.5535/arm.2019.43.3.352.

Ipsilateral Hemiparesis Following Epidural Hematoma in a Patient With Traumatic Brain Injury

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea. yousung1008@daum.net

Abstract

No abstract available.


MeSH Terms

Brain Injuries*
Hematoma*
Humans
Paresis*

Figure

  • Fig. 1. (A) Brain computed tomography images at onset show an epidural hematoma on the left fronto-parieto-temporal lobes and subarachnoid hemorrhage. (B) Brain magnetic resonance images 5 years after onset show leukomalactic lesions in the left subcortical white matter, left cerebral peduncle, and anterior center of the mid-pons (pink arrows). (C) Diffusion tensor tractography for the corticospinal tract (CST). Both CSTs, originating from the cerebral cortex including the primary motor cortex, descend to the medullary pyramid through the normal CST pathway. However, drastic narrowing (arrows) of the right CST is observed at the lower pons level. (D) Motor-evoked potentials, obtained from both abductor pollicis brevis (APB) muscles. The motor-evoked potential obtained from the left APB showed lower amplitude and higher excitatory threshold (ET) (latency=21.0 ms, amplitude=0.7 mV, ET=80%), compared to that from the right APB (latency=19.9 ms, amplitude=2.0 mV, ET=60%).


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