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Revista Medica de Chile 2010-Feb

[Hemiparetic ataxia secondary to a lenticulo-capsular infarction with favorable outcome: report of one case].

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Dirk Deleu
Francisco Ruiz M
Mina Al Badri
Naveed Akhtar
Atlantic D'Souza
Boulenouar Mesraoua

Keywords

Abstract

Hemi paretic ataxia (HA) is a lacunars syndrome that presents with motor deficit and pyramidalism associated to ipsilateral ataxia out of proportion to such deficit. Topography of lesions is wide and acute infarcts have been recognized at the infernal capsule, pons, thalamus, corona radiate and cortex. Symptoms are associated to involvement of pyramidal and corticopontocerebellar tracts. We report a 44-year-old mole presenting with right hemi paresis and severe ataxia. The magnetic resonance imaging showed a sub acute infarction of the left lenticular nucleus and infernal capsule. The patient was treated with physiotherapy, anti platelet agents and statins and was discharged with an evident recovery.

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