Motor organization of unilateral polymicrogyria associated with ipsilateral brainstem atrophy - a case report.
Choong-Hee RohDa-Sol KimGi-Wook KimYu Hui WonMyoung-Hwan KoJeoung-Hwan SeoSung-Hee ParkPublished in: BMC neurology (2022)
TMS revealed that the concurrent bilateral projections to the paretic hand from the affected and unaffected hemispheres and contralateral MEPs in the paretic hand were polyphasic, indicating delayed electrophysiological maturation or a pathologic condition of the corticospinal motor pathways. In DTI, the cross-sectional area of the CST at the level of the pons on the affected side was smaller than that on the unaffected side. These DTI findings reveal an inadequate CST volume. Despite extensive brain malformation and ipsilateral brainstem atrophy, our patient had less severe motor dysfunction and presented with involuntary mirror movements. Mirror movements in the paretic hand are considered to indicate ipsilateral corticospinal projections from the unaffected hemisphere and may suggest favorable motor outcomes in early brain injury.
Keyphrases
- brain injury
- cross sectional
- subarachnoid hemorrhage
- white matter
- transcranial magnetic stimulation
- cerebral ischemia
- case report
- single cell
- locally advanced
- oxidative stress
- squamous cell carcinoma
- type diabetes
- adipose tissue
- gene expression
- early onset
- metabolic syndrome
- resting state
- high frequency
- dna methylation
- lymph node
- rectal cancer
- blood brain barrier