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. 2022 Nov 4;38(12):1569–1587. doi: 10.1007/s12264-022-00959-x

Fig. 1.

Fig. 1

Compensatory pathways during the acute stage after different CNS injuries. A1 After a local motor cortical lesion, significant reorganization occurs in the perilesional areas to compensate for the injured region. A2 The contralesional cortex controls the ipsilesional cortex by functional cortico-cortical connections to compensate for the lesion in a moderate cortical lesion. A3 A severe cortical lesion affects interhemispheric inhibition, while the cortex on the injured side completely loses its function, and the contralesional cortex directly controls the paretic side. B The cortico-rubro-spinal pathway is enhanced after damage to the internal capsule or brainstem pyramid. The reticulospinal tracts can be another compensatory pathway after pyramidal lesions. C After a DLF lesion, the spared propriospinal tract connecting different segments of the spinal cord plays an important role in functional recovery. D CST axons from the ipsilesional cortex sprout and cross below the lesion after hemisection of the spinal cord.