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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1999 Oct;67(4):487–491. doi: 10.1136/jnnp.67.4.487

Activation of the left motor cortex during left leg movements after right central resection

H Wieser 1, K Henke 1, D Zumsteg 1, E Taub 1, Y Yonekawa 1, A Buck 1
PMCID: PMC1736587  PMID: 10486396

Abstract

A patient with Rasmussen's encephalitis underwent a right central resection at the age of 6 as a treatment for status epilepticus. She became seizure free, but suffered a left hemiplegia which improved so that she could walk. Because of the recurrence of seizures an enlargement of the resection to a hemispherectomy was carried out 17 years after the first operation. Various examinations, including H215O PET and amytal testing, performed before this second operation indicated that a compensatory reinforcement of the ipsilateral uncrossed corticospinal and spinocortical pathways had taken place. This was confirmed postoperatively. The patient had no new sensorimotor deficits.



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Selected References

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