Recovery of an injured medial lemniscus with concurrent recovery of pusher syndrome in a stroke patient: a case report

Medicine
Sung Ho Jang, Han Do Lee

Abstract

A 67-year-old, right-handed male patient underwent craniotomy and drainage for hematoma removal related to an intracerebral hemorrhage (ICH) in the right thalamus and basal ganglia at the neurosurgery department of a university hospital. He presented with severe motor weakness of left extremities, impairment of proprioception, and severe pusher syndrome at the start of rehabilitation. He was diagnosed as ICH in the right thalamus and basal ganglia. The patient received comprehensive rehabilitative therapy, movement therapy, and somatosensory stimulation. Four months after onset, left leg motor function (Motricity Index [MI] = 51) did not show significant recovery from that at two months after onset (MI = 41); however, in the same period, Nottingham Sensory Assessment and scale for contraversive pushing significantly improved. At four months, the patient was able to stand independently but required manual contact of one person during independent walking on an even floor. At seven months after onset, he was able to walk independently on an even floor. Recovery of a severely injured medial lemniscus with concurrent recovery of impaired proprioception and pusher syndrome.

References

Dec 1, 1994·Current Opinion in Neurobiology·J Massion
Aug 25, 2006·BMC Neurology·Leif JohannsenHans-Otto Karnath
Jul 9, 2008·Disability and Rehabilitation·Matteo PaciLucio A Rinaldi
Nov 26, 2009·American Journal of Physical Medicine & Rehabilitation·Martijn H M NiessenThomas W J Janssen
Apr 10, 2014·Journal of Rehabilitation Medicine·Jeong Pyo Seo, Sung Ho Jang

❮ Previous
Next ❯

Citations

Dec 15, 2018·American Journal of Physical Medicine & Rehabilitation·Jeong Pyo SeoMin Cheol Chang
Aug 30, 2019·American Journal of Physical Medicine & Rehabilitation·Min Cheol ChangSoyoung Kwak

❮ Previous
Next ❯

Software Mentioned

FMRIB Diffusion Toolbox

Related Concepts

Related Feeds

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.

Basal Ganglia Cerebrovascular Disease

Basal ganglia cerebrovascular disease is a condition where the blood vessels in the basal ganglia are damaged or malfunction. Discover the latest research on basal ganglia cerebrovascular disease here.