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Images in Neurology
January 2006

Restoration of the Corticospinal Tract Compressed by Hematoma: A Tractography Study Using Diffusion Tensor Imaging

Arch Neurol. 2006;63(1):140-141. doi:10.1001/archneur.63.1.140

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.

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