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J Korean Soc Emerg Med > Volume 29(1); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(1): 100-104.
A Case Report Hemiparesis Caused by Ipsilateral Middle Cerebral Artery Infarction
Se Kwang Oh, Hee Jun Shin, Byeong Dai Yoo, Duck Ho Jun, Dong Ha Lee, Ki Hwan Kim
Department of Emergency Medicine, Soonchunhyang University College of Medicine, Gumi, Korea
Correspondence  Se Kwang Oh ,Tel: 054-468-9114, Fax: 054-468-9020, Email: 13744@hanmail.net,
Received: August 17, 2017; Revised: August 23, 2017   Accepted: November 19, 2017.  Published online: February 28, 2018.
As the corticospinal tract crosses at the medulla, supratentorial stroke generally influences the opposite extremity. However, new incidences of hemiparesis might occur in the ipsilateral brain if there was a previous infarction in the opposite brain or a congenital structural abnormality. The occurrence of ipsilateral hemiparesis after cerebral infarction is very rare; however, we report here the case of a patient who developed right hemiparesis that was identified as acute right middle cerebral artery infarction.
Key words: Cerebral infarction, Pyramidal tracts, Paresis
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