Ipsilateral Hemiparesis in Intraparenchymal Hemorrhage: Case Report and Review of Literature
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Stroke presenting as contralateral hemiparesis is predominantly related to contralateral projection of the corticospinal tract. While most corticospinal fibers decussate at the level of the medulla, some tracts continue to descend as ipsilateral anterior corticospinal fibers. The anterior corticospinal tract (CST) has been suggested as one of the ipsilateral motor pathways which contribute to motor recovery following stroke. Few case reports in literature show ipsilateral hemiparesis due to involvement of anterior corticospinalfibers.There is an association in patients with congenital uncrossed corticospinal tracts and posterior fossa malformations. There was also a high correlation of ipsilateral hemiparesis in patients with remote infarction. A previous stroke was seen in 50% of the patients, all except for 1 case were ischemic in nature. Patients with previous infarcts do demonstrate an adaptive compensation for damaged or disconnected regions of an injured area. This emphasizes the need to consider the investigation for previous infarctions or underlying genetic structural defects by using certain imaging modality.We are reporting a case with no prior co-morbitidities,representing in Emergency Department with ipsilateral hemiparesis and seizure
Authors and Affiliations
Kashyap Richa, Nanda Kritika, Palta Kamal Preet
Keywords
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- EP ID EP595624
- DOI 10.9790/0853-1604099294.
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