Clinical Profile and Localization of Ataxic Hemiparesis as a ?Lacunar Syndrome

J Korean Neurol Assoc > Volume 12(3); 1994 > Article

Journal of the Korean Neurological Association 1994;12(3): 458-465.

열공성 뇌경색에 의한 운동실조성 편측부전마비(MRI 소견과 임상양상)

하경민, 이상건,김재우,김갑진,박지욱

동아대학교 신경과.

Clinical Profile and Localization of Ataxic Hemiparesis as a ?Lacunar Syndrome

Kyung Min Ha, M.D., Sang Kun Lee, M.D., Jae Woo Kim, M.D., Kab Jin Kim, M.D., Ji Wook Park, M.D.

Department of Neurology, College of Medicine, Dong-A University

Abstract

Ataxic hemiparesis is a stroke syndrome in which the main features are unusual combination of weakness and cerebellar-like ataxia involving the limb on the same side. We describe an analysis of 17 patients with ataxic hemiparesis who underwent magnetic resonance imaging or computed tomography. Ten patients had lacunar infarction in the contralateral pons. In six, lesions were found in the contralateral thalamus and the posterior limb of internal capsule. In one patient, infarct was located in the contralateral midbrain, They showed different clinical manifestations depending on the sites of lesion. This study may suggest that variable sites of lesion can cause ataxic hemiparesis and different clinical manifestations.