Abstract
A method for making clinico-anatomical correlations by computer superimposition of brain maps derived from CT scan images, described in a companion paper, was tested in 19 patients with an uncomplicated left hemiparesis due to acute stroke. Eight patients with an isolated left hemiparesis had small lesions in the most rostral part of the right internal capsule. The composite lesion maps of 11 patients whose left hemiparesis was complicated only by spinothalamic sensory loss showed a larger area of damage more caudally in the posterior part of the posterior limb of the capsule, abutting the thalamus. The close correlation between the results obtained by this method and those obtained in previous clinico-pathological studies of patients with uncomplicated strokes, confirms the validity of this mapping technique.
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- Alcalá H., Gado M., Torack R. M. The effect of size, histologic elements, and water content on the visualization of cerebral infarcts. Arch Neurol. 1978 Jan;35(1):1–7. doi: 10.1001/archneur.1978.00500250005001. [DOI] [PubMed] [Google Scholar]
- Allen C. M. Clinical diagnosis of the acute stroke syndrome. Q J Med. 1983 Autumn;52(208):515–523. [PubMed] [Google Scholar]
- Donnan G. A., Tress B. M., Bladin P. F. A prospective study of lacunar infarction using computerized tomography. Neurology. 1982 Jan;32(1):49–56. doi: 10.1212/wnl.32.1.49. [DOI] [PubMed] [Google Scholar]
- Groothuis D. R., Duncan G. W., Fisher C. M. The human thalamocortical sensory path in the internal capsule: evidence from a small capsular hemorrhage causing a pure sensory stroke. Ann Neurol. 1977 Oct;2(4):328–331. doi: 10.1002/ana.410020412. [DOI] [PubMed] [Google Scholar]
- HIRAYAMA K., TSUBAKI T., TOYOKURA Y., OKINAKA S. The representation of the pyramidal tract in the internal capsule and basis pedunculi. A study based on three cases of amyotrophic lateral sclerosis. Neurology. 1962 May;12:337–342. doi: 10.1212/wnl.12.5.337. [DOI] [PubMed] [Google Scholar]
- Hanaway J., Young R. R. Localization of the pyramidal tract in the internal capsule of man. J Neurol Sci. 1977 Oct;34(1):63–70. doi: 10.1016/0022-510x(77)90092-2. [DOI] [PubMed] [Google Scholar]
- Kuhl D. E., Phelps M. E., Kowell A. P., Metter E. J., Selin C., Winter J. Effects of stroke on local cerebral metabolism and perfusion: mapping by emission computed tomography of 18FDG and 13NH3. Ann Neurol. 1980 Jul;8(1):47–60. doi: 10.1002/ana.410080108. [DOI] [PubMed] [Google Scholar]
- Mohr J. P., Kase C. S., Meckler R. J., Fisher C. M. Sensorimotor stroke due to thalamocapsular ischemia. Arch Neurol. 1977 Dec;34(12):739–741. doi: 10.1001/archneur.1977.00500240027004. [DOI] [PubMed] [Google Scholar]