Activation of the left motor cortex during left leg movements after right central resection. Issue 4 (1st October 1999)

• Record Type: Journal Article
• Authors: Wieser, H Gregor; Henke, Katharina; Zumsteg, Dominik; Taub, Ethan; Yonekawa, Yasuhiro; Buck, Alfred
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 67:Issue 4(1999)
• Page Start: 487
• Page End: 491
• Publication Date: 1999-10-01
• Subjects: hemispherectomy -- functional plasticity -- H215O PET -- Rasmussen's encephalitis; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.67.4.487
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : A patient with Rasmussen's encephalitis underwent a right central resection at the age of 6 as a treatment for status epilepticus. She became seizure free, but suffered a left hemiplegia which improved so that she could walk. Because of the recurrence of seizures an enlargement of the resection to a hemispherectomy was carried out 17 years after the first operation. Various examinations, including H2 15 O PET and amytal testing, performed before this second operation indicated that a compensatory reinforcement of the ipsilateral uncrossed corticospinal and spinocortical pathways had taken place. This was confirmed postoperatively. The patient had no new sensorimotor deficits.