A 38-year-old right-handed man with a hypertensive intracerebral hemorrhage was admitted to our department because of severe weakness in the right upper and lower extremities. The T2-weighted magnetic resonance images showed a hematoma in the left corona radiata and basal ganglia 1 week after onset and the resolution of the hematoma 6 months after onset (Figure, A). The motor functions of the affected extremities recovered rapidly to the extent that the muscles in these extremities could overcome the force of gravity 3 days after onset and overcome resistance after 1 month. Five months after onset, the patient could carry out fine-motor activities such as writing and using chopsticks with the affected (right) hand and was able to walk with a normal gait.
Jang SH, Kim Y, Kwon Y, You SH, Han BS, Byun WM. Restoration of the Corticospinal Tract Compressed by HematomaA Tractography Study Using Diffusion Tensor Imaging. Arch Neurol. 2006;63(1):140-141. doi:10.1001/archneur.63.1.140