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February 1984

Ataxic Hemiparesis From Lesions of the Corona Radiata

Author Affiliations

Department of Neurology Loyola University Medical Center 2160 S First Ave Maywood, IL 60153

Arch Neurol. 1984;41(2):136-137. doi:10.1001/archneur.1984.04050140034013

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To the Editor.  —We found the recent report by Sage and Lepore on ataxic hemiparesis from lesions of the corona radiata interesting (Archives 1983;40:449-450). We would like to add two cases of ataxic hemiparesis with corona radiata lesions shown by cranial computed tomography (CT) seen during the past year.

Report of Cases.  —Case 1.—A 79-year-old hypertensive woman with histiocytic lymphoma and idiopathic thrombocytopenic purpura experienced sudden onset of right-hand weakness and clumsiness four days prior to admission to the hospital. Her right leg was affected the following day. Her BP was 130/70 mm Hg. She was alert and oriented, without speech or language dysfunction. There was a soft leftsided carotid bruit. Cranial nerves were normal. Muscle tone was slightly decreased in the right limbs. A mild right-arm drift was present. Muscle strength was mildly reduced in the right hand and markedly diminished in the right ankle. Finger-tonose and heel-to-knee-to-shin tests

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