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January 1986

Ataxic Hemiparesis With Intact Sensory Modalities

Author Affiliations

Division of Neurology Sinai Hospital of Baltimore Belvedere at Greenspring Baltimore, MD 21215 and The Johns Hopkins University School of Medicine Baltimore, MD 21218

Arch Neurol. 1986;43(1):8. doi:10.1001/archneur.1986.00520010008004

To the Editor.  —In a recent issue Mori et al1 described three patients with ataxic hemiparesis due to an internal capsule hemorrhage. All of their patients had associated contralateral sensory abnormalities. We wish to describe a patient with ataxic hemiparesis with intact sensory modalities caused by a capsular hemorrhage.

Report of a Case.  —An 80-year-old hypertensive man developed an acute inability to stand. Physical examination revealed a blood pressure of 180/92 mm Hg. The patient was alert. A mild left-central facial weakness was evident. Left-arm and left-leg strengths were 4/5 and 5/5, respectively. Finger-to-nose, heel-toshin, and rapid alternating movements were impaired on the left side. The patient fell to the left on standing and had truncal instability while sitting. Results of a detailed sensory examination were normal. Reflexes were symmetric with flexor plantar responses.A computed tomography scan revealed a hemorrhage involving the right posterior limb of