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Ataxic Hemiparesis With Intact Sensory Modalities

Jonathan Schleimer; Douglas Galasko, MD; Barney J. Stern, MD
Arch Neurol. 1986;43(1):8-8. doi:10.1001/archneur.1986.00520010008004
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To the Editor.  —In a recent issue Mori et al1 described three patients with ataxic hemiparesis due to an internal capsule hemorrhage. All of their patients had associated contralateral sensory abnormalities. We wish to describe a patient with ataxic hemiparesis with intact sensory modalities caused by a capsular hemorrhage.

Report of a Case.  —An 80-year-old hypertensive man developed an acute inability to stand. Physical examination revealed a blood pressure of 180/92 mm Hg. The patient was alert. A mild left-central facial weakness was evident. Left-arm and left-leg strengths were 4/5 and 5/5, respectively. Finger-to-nose, heel-toshin, and rapid alternating movements were impaired on the left side. The patient fell to the left on standing and had truncal instability while sitting. Results of a detailed sensory examination were normal. Reflexes were symmetric with flexor plantar responses.A computed tomography scan revealed a hemorrhage involving the right posterior limb of

REFERENCES

Mori E, Yamadori A, Kudo Y, et al:  Ataxic hemiparesis from small capsular hemorrhage: Computed tomography and somatosensory evoked potentials . Arch Neurol 1984;;41:1050-1053.
Schnapper RA:  Pontine hemorrhage presenting as ataxic hemiparesis . Stroke 1982;;13:518-519.
Kobatake K, Shinohara Y:  Ataxic hemiparesis in patients with primary pontine hemorrhage . Stroke 1983;;14:762-764.
Huang CY, Lui FS:  Ataxic-hemiparesis, localization and clinical features . Stroke 1984;;15:363-366.

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Mori E, Yamadori A, Kudo Y, et al:  Ataxic hemiparesis from small capsular hemorrhage: Computed tomography and somatosensory evoked potentials . Arch Neurol 1984;;41:1050-1053.
Schnapper RA:  Pontine hemorrhage presenting as ataxic hemiparesis . Stroke 1982;;13:518-519.
Kobatake K, Shinohara Y:  Ataxic hemiparesis in patients with primary pontine hemorrhage . Stroke 1983;;14:762-764.
Huang CY, Lui FS:  Ataxic-hemiparesis, localization and clinical features . Stroke 1984;;15:363-366.

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