Double decussated ipsilateral corticospinal tract in schizencephaly

被引:8
作者
Chang, Won Hyuk
Kim, Young-Bum
Ohn, Suk Hoon [3 ]
Park, Chang-hyun
Kim, Sung Tae [2 ]
Kim, Yun-Hee [1 ]
机构
[1] Sungkyunkwan Univ, Sch Med, Dept Phys Med & Rehabil, Samsung Med Ctr,Div Neurorehabil,Stroke & Cerebro, Seoul 135710, South Korea
[2] Sungkyunkwan Univ, Sch Med, Dept Diagnost Radiol & Imaging Sci, Samsung Med Ctr, Seoul 135710, South Korea
[3] Hallym Univ, Sch Med, Dept Phys Med & Rehabil, Hallym Sacred Heart Hosp, Pyongchon, Kyounggido, South Korea
关键词
diffusion tenser tractography; functional MRI; ipsilateral corticospinal tract; schizencephaly; transcranial magnetic simulation; TRANSCRANIAL MAGNETIC STIMULATION; HEMIPLEGIC CEREBRAL-PALSY; CONGENITAL HEMIPARESIS; POSTNATAL-DEVELOPMENT; CORTICAL DEVELOPMENT; MOTOR PATHWAY; PROJECTIONS; REORGANIZATION; BRAIN; HEMISPHERECTOMY;
D O I
10.1097/WNR.0b013e328331483d
中图分类号
Q189 [神经科学];
学科分类号
071006 [神经生物学];
摘要
We report a patient with left hemiparesis because of schizencephaly affecting the right precentral gyrus and describe a double decussated ipsilateral corticospinal tract detected using the multimodal brain mapping technique. In this patient, we could observe that the unaffected primary motor cortex (M1) controls both hands by functional magnetic resonance imaging and motor-evoked potential study. We were also able to visualize the corticospinal tract originating from the unaffected M1 that passed through the internal capsule and cerebral peduncle on the same side. It then crossed over twice at the brain stem level to go down to the ipsilateral spinal cord. These findings show a unique pattern of brain reorganization in the recovery from early brain injury. NeuroReport 20:1434-1438 (C) 2009 Wolters Kluwer Health vertical bar Lippincoft Williams & Wilkins.
引用
收藏
页码:1434 / 1438
页数:5
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