Middle cerebral artery territory infarction sparing the precentral gyrus: report of three cases

We report three patients with large middle cerebral artery infarctions in the non-dominant hemisphere, with striking recovery of motor function. In each case this excellent functional outcome correlated with selective sparing of the motor cortex in the precentral gyrus. We discuss some of the possib...

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Veröffentlicht in:	Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2003-04, Vol.74 (4), p.510-512
Hauptverfasser:	Portera-Cailliau, C, Doherty, C P, Buonanno, F S, Feske, S K
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aphasia Biological and medical sciences Brain Care and treatment Cerebrovascular Circulation - physiology Cocaine embolism Female Heart attacks Humans Hypertension Infarction Infarction, Middle Cerebral Artery - pathology Infarction, Middle Cerebral Artery - physiopathology ischemic penumbra magnetic resonance angiography Male MCA Medical imaging Medical sciences Middle Aged middle cerebral artery Motor Cortex - pathology Motor Cortex - physiopathology MRA Neurology Patients PCG precentral gyrus Recovery of Function - physiology Rehabilitation Short Report spectacular shrinking deficit Stroke Ultrasonic imaging Vascular diseases and vascular malformations of the nervous system Veins & arteries
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Zusammenfassung:	We report three patients with large middle cerebral artery infarctions in the non-dominant hemisphere, with striking recovery of motor function. In each case this excellent functional outcome correlated with selective sparing of the motor cortex in the precentral gyrus. We discuss some of the possible circulatory variants that might underlie this pattern of infarction.
ISSN:	0022-3050 1468-330X
DOI:	10.1136/jnnp.74.4.510